The Chesterfield Woman Aug/Sept 2013 Edition

The Chesterfield

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Women’s Journal

A Free Bi-Monthly Resource for the Women of Chesterfield County

August/September 2013

In This Issue

4 Why Don’t They Just Leave?

4 Chesterfield County Chamber Commerce 9th Annual Golf Classic 4 From 1950’s Frosting to Today’s Ombre 4 Choosing the Right Photographer for your High School Senior 4 Cancer Patients And Legal Needs 4 Healthy Vision for Back to School

educate. enrich. empower.

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Dear Readers

Christie L. Cook

The Chesterfield

Women’s Journal

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MC Media Inc.

14241 Midlothian Tpke, Suite 248 Midlothian, VA 23113 www.RVAWomensJournal.com 888 213 0612 Ph 804 977 1734 Fax

I am again excited to bring you the next edition of the Chesterfield Women’s Journal.

In this issue, we have brought a special spotlight to our People Who Serve – Soldiers, Firefighters, Teacher of the Year as well as a Non-Profit that helps to feed less fortunate families in the Chesterfield area (pgs. 4&5). As you browse through this issue, please take special note of the enclosed articles to find events that are happening in our beautiful county. If you are a golf enthusiast, you will want to calendar the Chesterfield County Chamber of Commerce 9th Annual Golf Classic (pg. 17). If you’re not out putting at the golf course, consider using the great summer weather days to fire up the grill! There is nothing better than grilling out with family and friends. On page 33, Adam Kline shares his grill time favorite wines along with some simple grilling dishes in his “Summertime for The Grill” article. Finally, make sure that you protect yourself while out in the sun. Dr. Nahabedian discusses protecting your skin in his “Melanoma: Update 2013” (pg. 11). As I meet the incredible people and business owners of Chesterfield County, I remain ever honored to have the privilege of sharing the educational information provided by these amazing professionals. We look forward to serving our readers for many years to come.

The Women’s Journal is a nationally syndicated primary educational resource. Women’s Journals have been in existence for over 32 years and there are over 370 individually distributed Women’s Journals throughout the nation. The power of the Chesterfield Women’s Journal is in the unique way that our contributors educate the community at large, by writing educational articles that are objective, and informative. Our contributors establish themselves among the leading authorities in their respective fields.

As always, thank you for allowing us to serve the readership of Chesterfield County.

- Christie L. Cook, Publisher

Publisher:

Christie L. Cook chesterfieldwoman@gmail.com

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August/Septe mber 2013

In This I ssue 4 Why Do n’t They Just

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4 Chester field Cou nty Chamb 4 From er Comme 1950’s Fro rce 9th An sting to Tod nual Gol 4 Choosin ay’s Ombre f Classic g the Rig ht Photog 4 Cancer rapher for Patients your Hig And Legal h School 4 Healthy Needs Senior Vision for Back to Sch ool

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On The Cover... The women at LINC; Lindsey C. Leach, Executive

Assistant, Sarah L. Gonzalez, Client Services Director, Denise Kranich, LINC Executive Director, and Ashley S. Payne, Attorney and Counselor at Law. See LINC’s article about cancer and legal issues Photographed at LINC Photographed by Heather House Studio of Photography

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People Who Serve..............................4-5

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1 In 4 Women Leak..............................6-7 Healthy Vision For Back To School.......8 M Dealing With Hearing Loss....................9 Publisher’s Page M CC Fashion Beauty Melanoma Update: 2013.................10-11 A Gender Under Siege By Alzheimer’s...12 Goodbye To Hair Loss Anxiety............13 M Abnormal Uterine Bleeding.................14 Fitness Lifestyle C Restoring Sight In Ethiopia..................15 The Virginian........................................16

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9th Annual Golf Classic........................17 M Fashion Beauty C 8 Reasons For Flawless Writing............18 M Cancer Patients WithGarden Legal Needs..….19 Home C

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M The Environment We Live In...............20 Dining Entertainment C M JuicingHealth 4 Awareness...............................21 Medical C M What’s In Your Water?..........................22 Business Financial C It’s Time..................................................23 M Community Education C M Fashion Beauty C M Home Garden C

Makeup Artist For Your Wedding Day.....24 From 1950’s Frosting Profile To Today’s M Ombre...5 People C M 7 SinsFitness Of Wedding Planning............…26 Lifestyle C M Dining Entertainment The Original Pin-Up Salon...............…35 C

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Child With Mental Health Issue?........27 Photographer For Your Senior Portrait..28 Dorothy & Herbert Vogel Collection...29 M Home Profile Garden M People CC Why Don’t They Just Leave?.................30 Heather House Studio...........................36

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Football For Business............................31 Summertime Wines For The Grill.......33

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M Publisher’s Page C M Home Garden C We hope you love our new magazine as much as M People Profile C

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Tracey Zaval Tracey Zaval was born in Hialeah, Florida and raised outside of Asheville, North Carolina. She graduated from the University of North Carolina at Asheville with a Bachelor of Arts degree in History.

She began her teaching career in Brevard, North Carolina 15 years ago and taught in New Orleans, Louisiana and Raleigh, North Carolina before moving to Virginia. She moved to Chesterfield County in 2005 and resides in Midlothian with her husband, Stephan Horvath, and two young daughters, Katie and Ellie. Tracey is active in her community, serving as a volunteer basketball coach with the YMCA and as the president of her neighborhood’s Women’s Association.

Tracey has wanted to be a teacher for as long as she can remember. She has taught Social Studies in all grades 6-12 and currently teaches 8th grade Civics and Economics at Midlothian Middle School. In May of this year, she was chosen as Chesterfield County’s 2014 Middle School Teacher of the Year and overall 2014 County Teacher of the Year. She works hard to create meaningful learning experiences for her students that keeps them engaged in her class and helps to prepare them with the 21st Century Skills that will help them be successful in the future. Under her guidance, her students regularly participate in community service. They have worked with various local organizations including CCC of Virginia Resettlement Services, Humanity Helping Sudan Project, and the American Cancer Society.

Jeffrey East Jeffrey East is a Virginia native whose family relocated to the Prince George area in 1995. He enlisted into the U.S. Army in 1997 and became an Airborne Infantryman, serving until 2002 with the 82nd Airborne Division in Fort Bragg, NC. During that time he wore many hats, from being a rifleman in an infantry squad to training and teaching others the skills needed to do this time-honored job.

In 2002, Jeffrey was transferred to Fort Lewis, WA, where he was given the very difficult task of helping activate the 2nd STRYKER unit of the U.S. Army. He was also tasked with training other young men, like himself, to prepare to go to a foreign land to defend, protect, and return home safely. He took this job very seriously, and to this day, nobody that ever served under him has ever been severely injured.

After performing duties that were not only challenging but life threatening on so many occasions for many years, Jeffrey was in for the challenge of a lifetime. On Sept. 6, 2009, 5 years after receiving an honorable discharge from the Army, Jeffrey wrecked his motorcycle. He said “I’ve played with explosives, jumped out of airplanes, and lived a very dangerous life and I was never hurt bad. I never thought that I would have gotten hurt this way.”

Jeffrey is very appreciative for the lady that saved his life, and when asked how he stays so positive and active, he thanks a very special group, the Paralyzed Veterans of America Mid-Atlantic Chapter. He stated that “without their help he would not be the person that he is today. They have helped me learn to overcome this challenge, this new life that I have been given, by showing me that there is life after injury.” Jeffrey now holds many hats within this organization. He is the assistant treasurer, the Outreach and Awareness chair, public speaker, and a peer counselor. He jokes and says “that he loves his role in this great organization and is going to school to obtain his undergrad in Business Administration, but nothing is as fulfilling as watching one of his newly injured peers smile for the first time when they start to realize that there is life after injury.” He has mentored two young men and they contribute their successful adaption/transition to him. “I have not been hurt that long but I see the struggle that so many before me have had and I want to do my part to make our area more aware of the abilities and needs of those with spinal cord injuries so that those that follow me will have it easier and will have fewer obstacles to face within their communities.”

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Kathryn Kahlson Kathryn Kahlson was born in Geneva, Switzerland. Her family later returned to the U.S. where she grew up in Cleveland, Ohio and graduated from Orange High School. She then moved to Richmond to attend Virginia Commonwealth University. With a Bachelor in of Arts in Political Science, she enlisted in the Virginia Air National Guard as a Small Arms Instructor. Her drive for leadership service led her to a commission in the Virginia Air National Guard where she served as a Logistics Officer, an Aircraft Maintenance Officer and a Squadron Commander. Shortly after joining the reserves, Kathryn began her career as a firefighter in Chesterfield County. The challenges of a career in public safety were a perfect fit for the then bodybuilder/power lifter. Chesterfield Fire and Emergency Services (CFEMS) is where she met her husband of 17years and the father of their two children, Sophie and Nolan. Kathryn is currently serving as a Fire Lieutenant in CFEMS and also as a Lieutenant Colonel in the 192nd Fighter Wing as Inspector General. She is a recent graduate of the prestigious Air War College with a Master’s in Strategic Studies. Kathryn was one of 12 U.S. Air National Guard members accepted into the highly competitive program. She recently traveled to Egypt and Bahrain, and is working toward promotion to Colonel in the Virginia Air National Guard and additional leadership opportunities in CFEMS.

Sharon G. Juozapavicius Born and raised in the Chicago suburbs, Sharon J. (as her friends and colleagues call her) has spent over 13 years residing in Virginia and is happy to now call VA “home.” Her educational background began at the University of Iowa where she received a Bachelor’s Degree majoring in Advertising, Public Relations, and Journalism. She has a Master’s Degree from DePaul University in Leadership Development, and is currently pursuing a Doctorate in Business Administration.

Professionally, Sharon has over 40 years in Business Management, Retail, Sales, Marketing, Training, Project Management, Innovation, Process Management, and Team Consulting. She retired from Amoco/British Petroleum in 2003. Currently, as CEO of CCHASM (a nonprofit organization dedicated to assisting individuals and families in need of food and financial aid) she finds her position both challenging and rewarding. The passion for her vocation comes from being fortunate to work with a wonderful group of talented and dedicated individuals (Board, Staff and Volunteers) who all exhibit a constant fervor for helping others. Sharon is also a Contributing Author for two books: Handbook of Research on E-Learning Applications for Career and Technical Education: Technologies for Vocational Training (published 2010) and Encyclopedia of E-Leadership, Counseling and Training (published 2011).

Personally, she has been married to her wonderful husband and best friend Al for 36 years. They have a son Justin who is a Correspondent with the Associated Press and a daughter Kevin who is a Doctor and Major in the U. S. Air Force. Although Al retired from his business as an Antiques and Federal Firearms Dealer and Appraiser, Sharon and Al still like the excitement of an auction and finding that special antique. When at home, they dote on their new “puppy” (a 7 month old, 105 pound, Irish Wolfhound).

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M Health Medical C y Cora T. Huitt PT, DPT, BCB-PMD B

Cora has been practicing physical therapy for forty one years. She earned her Bachelors of Science at Ohio State University, Masters in College Teaching at University of North Carolina and her Doctor of Physical Therapy at Alabama State University. Cora has been a clinical instructor and adjunct professor at several universities. She is a certified women’s specialist in pelvic muscle dysfunction. The clinic she started, Women’s Health Physical Therapy is one of six credentialed by the American Physical Therapy Association in the United States. Cora is an affiliate member of the American College of Obstetrics and Gynecology, International Continence Society, National Vulvodynia Association and International Society for the Study of Women’s Sexual Health.

Why Didn’t I Know That 1 In 4 Women Leak?

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What is bladder leakage?

Bladder leakage (urinary incontinence) is the involuntary leakage of urine.

When do women leak?

Women leak during and after pregnancy, menopause, post radiation for breast or uterine cancer, when performing athletics and during intercourse. Some other medical conditions like painful bladder syndrome, neurological conditions such as multiple sclerosis and vulvodynia, can also cause incontinence.

Are there different types of incontinence?

Yes. Stress Incontinence- leaking with laughing, coughing and sneezing. Stress incontinence is a storage problem due to weakened pelvic support when pressure in the bladder is greater than the urethra. Urge Incontinence is a strong desire to urinate even when the bladder is not full, increased frequency greater than 6-8 times per day or nocturia (awakening from sleep) because of urge to urinate. Urge incontinence is a filling problem due to uninhibited, involuntary bladder contraction. Mixed Incontinence is a combination of urge and stress incontinence.

What causes bladder leakage?

Loss of bladder control or poor strength, endurance and coordination of pelvic floor muscles. Pelvic floor muscles contract to support and lift the bladder in good position and close the urethra.

Isn’t leaking a normal part of aging?

40 million women between the ages of 18-45 live with incontinence. Incontinence should be treated as soon as it begins. Leaking is not normal.

However, women over 80 years old suffer due to aging muscles, decreased estrogen and slowed nerve transmission.

How can a woman tell if she is doing her pelvic floor exercises correctly?

Education about anatomy/ physiology and specialized equipment like ultrasoundography, a squeeze pressure gauge or an educator can display correct muscle contraction. Exercises done correctly contribute to 70% improvement in symptoms of stress incontinence. Improvement has been seen across all age groups with a supervised exercise program by specialized physical therapists or continence nurses versus leaflets or unsupervised exercise.

Do I have to put up with incontinence?

No, whether you are a teen or a mature woman, specific muscle training from a Women’s Health Physical Therapist can be most effective. The Agency on Healthcare Research and Quality endorses such behavioral therapy.

As an athlete, girls have been told its ok if they leak.

Performing impact sports such as running or gymnastics can fatigue the pelvic floor muscles that hold the pelvis together and support the pelvic organs. Pelvic floor muscles must be strengthened and work together with the abdominals and deep back muscles.

Can holding your breath contribute to leaking?

Yes, increasing intra-abdominal pressure will compress the bladder.

Why do women leak more frequently than men?

Women have a much shorter urethra than men. The urethra must be compressed quickly like

kinking a garden hose to close off the tube so urine is not leaked.

How long should pelvic exercises be practiced?

Pelvic floor exercises are most effective when done for three months. Exercises should be continued throughout life as activities of daily living are performed.

Why does bladder leakage need to be treated?

Female incontinence is embarrassing and can cause emotional distress, which can result in decreased physical activity and social function. The cost of pads is expensive. Women can develop irritation in the region and urinary tract infections.

Is it correct to think that the first step to reducing leaking is to cut back on liquids?

No, decreasing liquids is not a good idea because a woman can become dehydrated, with an increase in uric acid which can contribute to infection.

Is a side effect of having a baby incontinence?

Possibly, pelvic floor muscles are often strained during pregnancy and vaginal birth. Decreased estrogen levels can also reduce the connective tissue thickness reducing the compressive forces on the urethra and the lift of the bladder.

What types of exercises do physical therapists do?

Exercises include: 1. Training the transverse abdominals, training deep back extensors beside the spine, and pelvic floor muscles to work together when performing daily life tasks.

2. Coordinated breathing.

3. Bladder retraining to expand

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the bladder’s capacity to hold urine.

4. Urge suppression to reduce leaks. Depending on the individualized exercise program tailored for each woman, the sessions are typically 8 visits of 45 minutes over a 6-8 week period.

5. Timed voids, which is slowly increasing time intervals between going to the bathroom.

What other treatments are available?

• Electrical stimulation • Surgical procedures • Medications (even though the medication action can be helpful, sometimes side effects like dry mouth can be bothersome)

How can electrical stimulation work?

The InToneTM device is an electrical muscle stimulator that encourages the pelvic floor muscles to work more effectively. Patients are instructed how to insert the probe vaginally to ensure good contact with the pelvic floor muscles. Stimulation is set to aide muscle contraction. A twelve minute therapeutic session is done with visual biofeedback, audio encouragement and instruction.

Regular sessions, 6x/week for 14 weeks for stress and 26 weeks usage for urge or mixed incontinence is recommended. The company that manufactures the InTone offers a money back guarantee if the patient complies with the suggested treatment and does not achieve positive results.

Why do women feel a strong urge to urinate or even leak when she sees a toilet, or walks into the door of her home?

A person can develop a conditioned response associating the toilet with the need to urinate.

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Common questions women are hesitant to ask When a woman sees a bulge in her vaginal area, is that contributing to incontinence?

Prolapse, descent and change of anatomical position of the bladder can contribute to leaking.

Inappropriate leakage of urine is falsely perceived by many as not serious. If you or a family member or friend are experiencing leaking, consider seeking care. Many women do not seek advice and care for seven or more years. The National Institute of Health and the Agency for Health Care Policy and Research recommends as a general rule that the least invasive procedure should be the first choice of medical care if appropriate to your needs. Please give us a call at Womens Health Physical Therapy if you have any questions or comments.

“Most women who have incontinence use pads and do not seek care for seven or more years. Research documented twenty-five years ago that leaflet instructions are not effective in teaching women how to strengthen and improve the endurance and coordination of the pelvic floor muscles. As a pelvic health specialized physical therapist, I have witnessed many women struggling to use the superficial and deep pelvic floor multiplanar muscles correctly. My patients that have used the InTone electrical stimulator feedback system have found it most helpful. The InTone device is easy to use and gives auditory and visual feedback. Computer generated graphics in follow up sessions show the patient her progress to strength goals. After years of withdrawal, most find they can be more socially and physically active due to decreased or eliminated incontinence”. - Dr. Cora T. Huitt, PT, BCB-PMD Testimonials “My use of the Intone Device has been to reduce incontinence. As a 55 year old, I did not want to stop my social activities like going to craft classes due to leakage of urine. Whenever I sneezed, coughed, or laughed I had a problem. My gynecologist recommended pelvic floor physical therapy. As a result, I have been under the care of an excellent women’s health physical therapist who suggested electrical stimulation as part of comprehensive pelvic health therapy. I like working with the InTone device because of the audio supervision. To my delight I have noticed good results. After twelve treatments I have tripled my initial pelvic floor muscle squeeze pressure.

I was able to go to a local chocolate festival and enjoy myself with my husband and make it to the bathroom without leaking. Thank you for the high level of medical care to reduce my leaking by isolating pelvic muscle strength and endurance.” - Patient of Cora T. Huitt, DPT, PT, MA, BCIA-PMDB

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M Health Medical C Melissa Perry B y About Prevent Blindness Mid-Atlantic

Founded in 1957, Prevent Blindness Mid-Atlantic is the only local non-profit health organization dedicated solely to the prevention and detection of vision problems. Focused on promoting vision as part of a continuum of health care, Prevent Blindness Mid-Atlantic provides vision screenings, advocacy, and eye health and safety education programs. As a privately funded 501(c)3 organization, Prevent Blindness Mid-Atlantic provides services through funding from foundations, corporate sponsorships, fundraising events, private donors, and civic organizations.

Healthy Vision For Back To School

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1 in 4 children has a vision problem significant enough to impact their ability to learn. As many kids are gearing up to begin a new school year, Prevent Blindness Mid-Atlantic wants to encourage parents to add “get my child’s eyes checked” to the their list of things to do. Having a child’s vision tested by an eye care professional can help them achieve greater success in the classroom, since much of a child’s learning is done visually. In fact, about 80% of what children learn in a normal classroom setting is learned through their vision.

Making eye health a priority is one way to help children see a brighter future and have success in school.

Many children may not know that they have a problem because they think how they see is how everyone else sees. They learn to compensate with their vision problems without fixing them, which can lead to more problems in school and later in life.

Unfortunately, some students are misdiagnosed as having a learning disability or behavioral problems when they may simply have vision impairment. An eye exam is the ideal way for parents to know if their child has a vision problem.

Parents should also watch for the following signs: What do your child’s eyes look like?

• Eyes don’t line up, one eye appears crossed or looks outward • Eyelids are red-rimmed, crusted or swollen • Eyes are watery or red (inflamed) How does your child act?

• Rubs eyes a lot • Closes or covers one eye • Tilts head or thrusts head forward • Has trouble reading or doing other close-up work, or holds objects close to eyes to see • Blinks more than usual or

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seems cranky when doing close-up work Squints eyes or frowns

Strabismus or “crossed eyes” – a condition where eyes are misaligned or do not line up with each other. This problem is caused when the muscles do not work together. Strabismus may eventually lead to amblyopia.

Approximately one in 50 children has strabismus.

What does your child say?

• “My eyes are itchy,” “burning” or “feel scratchy.”

• “I can’t see very well.”

• After doing close-up work, your child says “I feel dizzy,” “I have a headache” or “I feel sick/ nauseous.”

• “Everything looks blurry.”

• “I see double.”

With the new school year just around the corner, parents should be “hitting the books” now to educate themselves about the importance of healthy vision to their children’s school careers.

Prevent Blindness Mid-Atlantic’s website features an eye health and safety library, which provides information on how to protect your child’s healthy vision. You are also encouraged to explore the information about adult vision; eye exams are important at every age. In many cases, vision loss is not reversible once it occurs and is often undetectable until it compromises function. Regular eye exams can detect and allow for treatment of vision disorders that may develop as you age, preventing or slowing vision loss and preserving healthy vision.

Eye exams should be part of the continuum of health care for your entire family – healthy vision is a priority at any age.

“Protecting vision and eye health is the mission of Prevent Blindness Mid-Atlantic,” said Tim Gresham, the organization’s President and CEO. “We want all parents to make sure their child’s vision problems do not go unnoticed this school year.

A child should not have to struggle in school because of an undetected vision problem.”

Eye problems can range from common refractive errors such as nearsightedness and farsightedness, to serious eye conditions including the following: Amblyopia or “lazy eye” - the most common cause of visual impairment in children. As the brain develops and receives diminished images from the affected eye, it begins to suppress those images and favor the unaffected eye. If this condition persists, the weaker eye may become nonfunctional.

Amblyopia becomes more difficult to treat effectively as the child becomes older.

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Programs Prevent Blindness Mid-Atlantic provides programs in area school systems and preschools that help protect children’s education by protecting their healthy vision.

PBMA works with school nurses in the area’s public schools to provide national certification in children’s vision screening.

Advanced, technology-based vision screenings are provided in preschools throughout the Greater Richmond area, thanks to PBMA’s W.H.E.E.L.S. program, funded by the Medarva Healthcare Foundation. The technology was also introduced into some area public school systems, as well as the Catholic Schools throughout the Richmond Diocese, last school year. This technology provides accurate, effective, and efficient vision screenings; results are generated within seconds without the need for response from the child or interpretation by the person conducting the screening.

All of our comprehensive programs provide awareness and education, best practice screenings, validated equipment and supplies, and referral and follow-up materials.

Resources are also available for families in need of financial assistance to obtain an eye exam and purchase glasses.

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Gary Edward Barg Presented B y

About Caregiver Media Group Caregiver Media Group is the nation’s first integrated media organization serving caregivers online, in-print and in-person. Established in 1995, Caregiver Media Group has become the recognized media authority on caregiving through Today’s Caregiver magazine, Caregiver.com, the Fearless Caregiver Conferences, the award winning book - The Fearless Caregiver: How to get the best care for your loved one and still have a life of your own, as well as Caregiver Media Group’s award winning content and custom publications.

Dealing With Hearing Loss

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Imagine trying to have a conversation and constantly having to ask your companions to repeat themselves; or not being able to participate in a group discussion in the common room because the TV is on and six people are chatting around you. Sadly, this is the harsh reality of many seniors.

According to the Hearing Loss Association of America, one in three individuals at the age of 65 will suffer from hearing loss.

Hearing loss is identified as the third most prevalent chronic disability among older adults, behind arthritis and hypertension, and affects over 36 million Americans. Not only is hearing loss a physical limitation, it can also be a serious lifestyle impediment, leading to withdrawal from friends, family and social situations.

A disability that often goes unnoticed, hearing loss associated with aging can be such a gradual process that it can be difficult for caregivers to notice the symptoms.

Some basic warning signs include: speaking louder than necessary, constantly asking to repeat in conversation, withdrawing from social contact, speech that seems muffled or slurred, and difficulty understanding someone speaking from a distance or conversing in areas with background noise.

Seniors suffering from hearing loss have difficulty communicating in noisy situations, in large groups and at a distance. They may have trouble hearing the radio, television or telephone. While hearing aids can help to improve patient’s communication abilities, these problems are likely to remain unrectified, even with a hearing aid, since hearing aids work best in quiet environments with a limited number of communication partners.

someone who is hard of hearing.

Choose small rooms with carpets, drapes and soft furnishings to minimize the echo, and turn off any distractions such as the television or radio.

2. Grab Attention When speaking to someone who suffers from hearing loss, it is important to get their attention before you speak by saying their name or tapping gently on their arm. Always face the person when speaking. Don’t cover your mouth or speak with something in your mouth, such as gum or food.

The environment and the speaker can either assist or hinder someone with hearing difficulties. Here are some ideas for caregivers to improve communication with seniors suffering from hearing loss:

feet to allow the speaker to be both seen and heard.

Using these strategies, caregivers can help eliminate some of the most common issues that exacerbate insecurities of seniors with hearing loss.

Lisa Evans is a freelance writer and regular contributor to www. torontonursinghomes.com. Visit her website lisa-m-evans.weebly.com

3. Don’t Change Speaking Tone Speak in a normal tone, not raising your voice unless you are asked to.

While the first response of most individuals is to shout to someone with hearing issues, shouting can distort the sound of the voice, making it even more difficult to understand. Speak clearly and at a moderate pace. If you are not understood, simplify the message; say it in a different way or write it down.

1. Change the Environment Noisy environments are an albatross for people suffering with hearing loss. Multiple conversations, background noise from heating and cooling vents, fans, running water, television and traffic can hinder an individual from hearing even a face-to-face conversation. Being aware of physical surroundings and trying to move away or remove these sources of noise when communicating with someone who suffers from hearing loss can greatly assist them.

4. Individual vs. Group Setting One-to-one communication is easier for someone suffering from hearing loss. Physical distance between the speaker and listener can be challenging for someone who is hard of hearing. The distance should be no more than six

Rooms with echoes, such as gymnasiums, are a challenge to

Gary Edward Barg, Author, The Fearless Caregiver A noted speaker, writer and publisher on caregiving issues since 1995, Gary Barg is Founder and Editor-InChief of the first national magazine for caregivers, Today’s Caregiver, as well the original online caregiver community, caregiver.com. Today’s Caregiver magazine and caregiver.com combine information, advice and reader’s stories with interviews with celebrity caregiver such as Leeza Gibbons, Rob Lowe, Dana Reeve, Barbara Eden and Debbie Reynolds, among others. Gary created The Fearless Caregiver Conferences, hosted across the country, which brings together caregivers to share their knowledge and experience and wisdom.

His book, The Fearless Caregiver, is filled with practical advice, poetry and inspirational stories. His awards include, the Mature Media Award for writing, International Television Association Golden Reel Award and the Southern Gerontological Society Media Award. Gary serves as a member of the Board of Trustees, National Adult Day Services Association and a Member of the Board, American Association for Caregiver Education.

His interviews include; The Today Show, Bloomberg Radio Network, Time Magazine, The Wall Street Journal, USAToday, Miami Herald, NPR Diane Rehm Show, Los Angeles Business Journal, and Parade Magazine.

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Gary Edward Barg, CEO Editor-In-Chief Caregiver Media Group Today’s Caregiver magazine Fearless Caregiver Conferences Caregiver Friendly Awards Caregiver.com T: 954.362.8121 T: 800.829.2734 extension 121 F: 954.585.9201 Gary@caregiver.com Don’t forget to sign up for our weekly email newsletter at http://caregiver.com/subscribe/subscribe_newsletter.htm

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M Health Medical C y Maurice Nahabedian, MD, FACS B & Professor of Plastic Surgery Georgetown University Hospital

Anissa G. Nahabedian, R.N., B.S.N Baltimore, Maryland

Maurice Nahabedian, MD, FACS is currently a Professor of Plastic Surgery, Vice Chairman for Clinical Affairs, and Chief of the Division of Microvascular Reconstruction in the Department of Plastic Surgery at Georgetown University Hospital. His primary clinical and research interests are focused on breast as well as abdominal wall reconstruction. He has published over 130 manuscripts, editorials, and discussions as well as 42 book chapters on a variety of topics that include breast reconstruction and abdominal wall reconstruction. Dr. Nahabedian

Melanoma Update: 2013

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For many people, the desire to be outdoors and in the warm summer sun is hard to resist. The warmer months are filled with people cycling, walking and jogging, gardening or just relaxing in the outdoors. While this is enjoyable, what is often overlooked is that unprotected skin is susceptible to damage, especially from the potentially harmful rays of the sun.

Although many of us may be in the routine of packing sunscreen for the beach, everyday sun exposure can be damaging as well; thus, it is important to protect the skin dayto-day.

Various skin cancers may occur that can be directly attributed to the amount of sun (ultraviolet radiation) that we are exposed to. A common misconception is that skin cancer only occurs in the elderly. This is far from the truth as skin cancer can occur in the young as well. The three most common skin cancers that everyone should be aware of include basal cell carcinoma, squamous cell carcinoma, and melanoma. Although squamous cell and basal cell carcinomas are the most common, melanoma is the most dangerous. While it is hard to predict exactly who will get skin cancer, there are factors that play a role such as skin type, hair and eye color as well as history of indoor tanning use, sun exposure and burning. Fortunately, there are many sources of information that can be accessed to better understand ones risk of developing skin cancer and how to take the appropriate steps to minimize that risk (American Cancer Society).

This article will focus on melanoma and review relevant epidemiologic data as well as anatomy, prevention, identification, and treatment.

Current statistics from the

American Cancer Society are that invasive melanoma ranks fifth in men and seventh in women as the most common cancers. Its incidence has increased every year for the past 30 years. It is estimated that 76,690 people will be diagnosed with invasive melanoma in 2013 of which 45,060 will be in men and 31,630 will be in women.

It is also estimated that about 9,480 people will die of melanoma this year. This represents about 80% of all deaths due to skin cancer.

Survival is directly related to the stage of the melanoma with 5-year survival rates that range from 95% for stage I melanoma all the way down to 2% for stage IV melanoma.

developing skin cancer. The use of sunscreens is recommended by dermatologists and the American Cancer Society to reduce the skin damage that is caused by ultraviolet radiation. Sunscreens come in various degrees of sun protection factor (SPF) that should be selected based on one’s skin type. The use of a broad-spectrum water resistant sunscreen of at least 30 or higher, avoiding sun exposure during the peak hours between 10 AM and 4 PM, as well as wearing protective hats and clothing is recommended. Sunscreen should be applied liberally and reapplied every 80-90 minutes or after

As the incidence of melanoma continues to increase worldwide, many epidemiologists and physicians are promoting awareness campaigns to slow down and reverse this trend.

It is important to remember that prevention is the number one strategy in avoiding skin cancers. .

There is a direct link between ultraviolet (UV) radiation and the incidence of melanoma. For that reason, it is important for people to limit their sun exposure, especially in those with fair skin who may be at higher risk for

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swimming. Recent studies have also found that UV-A radiation found in artificial tanning units is 15-20 times stronger than midday natural sun. (Autier, 2010) It is recommended that people check with their primary care provider or dermatologist to determine what is best for them.

It is a well known fact that melanoma is the most dangerous and deadliest of the three skin cancers for several reasons. The first is because it can mimic a benign pigmented lesion that may be mistaken as a freckle or a mole. If left untreated, it can spread beyond

Melanoma

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has been the principal editor of 3 textbooks and co-edited 2 textbooks focused on reconstructive and aesthetic breast surgery and is in the process of completing a 6th textbook on abdominal wall reconstruction. He is the Section Editor for Breast Surgery with the Journal of Plastic and Reconstructive Surgery (PRS), serves on the editorial board for 3 other journals, and has reviewed manuscripts for 23 different journals. Dr. Nahabedian currently serves on the clinical symposia committee and the instructional course committee for the American Society of Plastic Surgery, is the PRS representative to the Joint Business Operations Committee, and is a frequent oral board examiner for the American Board of Plastic Surgery. In 2012, Dr Nahabedian chaired three national symposia that included the 4th Annual Abdominal Wall Reconstruction Conference, the Santa Fe Breast and Body Contouring Symposia, and the Challenging Complications in Plastic Surgery Conference. Dr. Nahabedian has also been a visiting professor 55 times over the past 8 years at various universities and hospitals around the country.

its borders and metastasize to vital organs such as the lungs or brain.

The second is based on its origin.

The skin is composed of two layers, the epidermis (superficial layer) and the dermis (deeper layer). The dermis contains lymphatic channels that are linked to the lymph nodes that are scattered throughout the body. Basal and squamous cell cancers originate in the superficial layers of the skin and rarely spread to other areas of the body. These tumors are locally aggressive if left untreated but rarely result in loss of life. Melanomas on the other hand originate in the deeper layers of the skin where the melanocytes and lymphatics are located. Melanocytes are responsible for skin pigment and melanoma is a malignant tumor or these cells. Ultraviolet radiation can cause DNA changes in these cells promoting malignant cell growth. These tumors frequently will spread via the lymphatics to other areas of the body. The unrecognized melanoma can spread rapidly and can be lethal if left untreated.

Evaluation of the Suspected Melanoma In light of the increasing incidence of melanoma, public awareness has improved. There has been extensive media coverage on this topic and plastic surgeons, dermatologists, and oncologists have been educating patients on prevention and management. As a result, patients with pigmented skin lesions are seeking attention with increased frequency. Fortunately, the vast majority of pigmented skin lesions are benign and normally do not require treatment. The decision as to which skin lesions require biopsy can be clinically challenging and sometimes difficult because of the diversity in the appearance.

The clinical criterion that is

currently used to evaluate a suspected melanoma is the “ABCDE” acronym. Pigmented lesions are commonly evaluated based on Asymmetry, Border, Color, Diameter, and Evolution.

Many melanomas will be asymmetric and appear irregular with some parts of the lesion having a different appearance. The borders can also be irregular and can be ragged, notched, or blurred. The color of a melanoma is often dark but may contain different colors such as brown, black, blue, pink or white. The diameter of a melanoma is often greater than 6 mm but can sometimes be less. Finally, these lesions are evolving or continually changing over time. It is a good rule of thumb to biopsy any pigmented lesion that stands out on your body, is new, or has changed in behavior or appearance. Changes in appearance may include border irregularity, tone, color, and size.

Changes in behavior may include bleeding, itching, and texture.

Biopsy of the Suspected Melanoma There are a variety of biopsy techniques that include incisional, punch, excisional, and shave. The indications for each are varied and based on the clinical characteristics and location of the lesion. For pigmented lesions in which there is a low suspicion for malignancy, a shave biopsy is often performed that often does not include the full thickness of the lesion. This is a quick and simple office based procedure that usually heals nicely.

For suspicious lesions measuring less than 1 cm in diameter, an excisional biopsy is usually recommended and should include the full thickness of the lesion and a 1 – 2 mm margin of normal skin.

For suspicious lesions measuring greater than 1 cm in diameter, an incisional or punch biopsy is

usually recommended and should also include the full thickness of the lesion. These specimens are than sent to the pathologist who will evaluate the tissues for melanoma and provide a formal report usually within 1 week. In the event that the biopsy is benign, no further treatment is required. In the event that the biopsy is melanoma, additional surgery will usually be necessary and usually includes reexcision and a sentinel lymph node biopsy.

Management of the Confirmed Melanoma In the event that the final pathology confirms the presence of a melanoma, further management is usually necessary. The melanoma will need to be re-excised with a wider margin of normal skin because these melanomas tend to spread through the lymphatic channels. These lymphatic channels lead to the lymph nodes that are concentrated in the armpit, groin, and neck areas. The appropriate margin of excision for a confirmed melanoma is based on the thickness of the melanoma. For melanomas that are less than 1 mm in thickness, a 1 cm margin of normal skin is excised. For melanomas that range from 1 to 2 mm in thickness, a 1 - 2 cm margin is recommended.

For melanomas that are greater

Maurice Nahabedian, MD, FACS Professor: Plastic and Reconstructive Surgery Georgetown University Washington DC

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than 2 mm in thickness, at least a 2 cm margin is recommended.

Because these melanomas have a tendency to spread to the lymph nodes, a sentinel lymph node biopsy is usually performed. With this procedure either a blue dye or a radioactive tracer is injected into the dermis of the skin adjacent to the melanoma. These compounds enter the lymphatic channels and go to the regional lymph nodes.

The first lymph node that acquires the compound is detected using specialized instruments and biopsied. If that lymph node has melanoma, then additional lymph nodes may be randomly removed and more advanced treatments may be required. A thorough description of the advanced treatment options for melanoma may be found by visiting the American Cancer Society website.

In summary, as the incidence of melanoma continues to increase, public awareness and proper education is mandatory. People should be aware of the preventative maneuvers to reduce the incidence.

Sunscreen and skin precautions should be utilized and careful skin examinations should be routinely performed looking for the ABCDE’s of melanoma. Early identification and treatment can result in longterm cure.

202-444-2000 DrNahabedian@aol.com www.MauriceNahabedian.com 3800 Reservoir Road, NW Washington, DC 20007

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y Dr. Marc Rothman B Board Certified Psychiatrist and Geriatric Psychiatrist Dr. Marc Rothman is medical director of Brandywine Behavioral Health Pavilion at Brandywine Hospital and is a member of the Brandywine Hospital medical staff.

A Gender Under Siege By Alzheimer’s Disease

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Can’t remember where you placed your keys? Having trouble recalling a friend’s name? Have you ever gone to another room and forgotten what you were there to get? Don’t worry - these moments happen to just about every woman with responsibilities. Most of the time, after retracing your path, you remember where you put your keys, your friends name pops into your head and something triggers why you went into the room down the hall. There is a big difference between a temporary loss of recall and the permanent, progressive, life altering disease known as dementia.

Dementia is an illness that usually involves a progress of deterioration. Initial signs include changes in the way a person behaves and communicates.

There are increased episodes of confusion as well as memory loss that negatively affects day to day functioning. Noted cognitive symptoms include impaired decision making, difficulty learning new skills and poor problem solving. Emotionally, there can be changes as well to include fear, insecurity, anger and often symptoms mimicking depression. Memory problems alone do not constitute a dementia diagnosis, rather there have to be multiple symptoms to meet criteria.

There are over 100 types of dementia. There are progressive dementias which result in permanent brain deterioration and there are some causes of dementia or dementia like symptoms that can be reversed. The most common type of progressive dementia, Alzheimer’s Disease (AD), will be discussed as well as how it affects women. According

to the 2012 Alzheimer’s Disease Facts and Figures produced by the Alzheimer’s Association, 60 to 80% of those with dementia are diagnosed with Alzheimer’s disease; 65% of those with AD are women.

A discussion on women and dementia cannot be had without mentioning the Shriver Report: A Study by Maria Shriver and the Alzheimer’s Association. Alarming statistics were produced by this report including that 10 million women either have Alzheimer’s or are caring for someone with it.

The report suggests that because of AD women are, in fact a gender under siege due to the increase in occurrence as well as the fact that women are most likely to become a caregiver to someone with AD. There are women who have children, work and are caring for a parent(s) with the disease.

This can add up to a very difficult scenario for what is called the sandwich generation. The Shriver report talks about how much we need to focus on the sixth largest killer of American women and how we need to bring attention to how the numbers are increasing to an epidemic proportion.

exercise, follow a Mediterranean diet; partake in moderate alcoholic beverages (ie. one per day) while taking steps to remain active mentally and socially (read, do brain puzzles, join a social group to stay connected). It is also important to avoid head trauma so be sure to wear a seatbelt or bike helmet and make smart choices such as playing tennis in lieu of partaking in a rugby match! In addition there is also a possibility that the cessation of smoking and the intake of antioxidants (C,E)

can reduce risks of AD. In the event that a diagnosis of Alzheimer’s Disease is made, one of the best ways to move through the experience is through education and support. The Alzheimer’s Association (www. alz.org) is the leader in research, education and support. One can find information about new treatments as well as dates and times for support groups that take place nationwide. It is important to know you are not alone in your journey.

Comfort.

our spaCious private rooms help patients reCover in Comfort.

Brandywine Hospital has undergone a renovation to offer our patients private rooms with special amenities that help them feel more comfortable and at ease. These new rooms have ample space

So why are there more occurrences of the disease in women? The main risk factor for developing AD is advancing age. In the 2012 Alzheimer’s Disease Facts and Figures the difference in lifetime risks between women and men are largely due to women’s longer life expectancy.

for family and friends. Wi-Fi is available. Now, every room in our Medical/Surgical, Orthopedic and Neuroscience, Progressive Care and Intensive Care Units is completely private. To find out more about the patient-centered care at Brandywine, visit BrandywineHospital.com.

It’s better at Brandywine.

There are ways that women can reduce the risk of Alzheimer’s Disease. This includes maintaining a healthy blood pressure, cholesterol level and managing blood sugar levels. One can

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M Health Medical C Advance Techniques is dedicated to providing you with the latest proven hair replacement and hair restoration solutions, with multi-therapeutic hair loss treatment programs designed to address your specific type of hair loss, We offer: • Affordable hair replacement services custom designed to your individual hair loss and hair loss solution requirements.

• The very finest human hair wigs, medical hair prosthesis, and men’s hair replacement systems • Free, no obligation hair and scalp evaluation • Discreet, dignified and confidential service • A team of quality trained and experienced hair and skin specialists • Personal, professional, one on one service • Totally private styling rooms • The security of dealing with a firm that’s been in business in Chesterfield County for over 20 years.

Say Goodbye To Hair Loss Anxiety

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Millions of women and men suffer frustration and embarrassment over the traumatic problems of excessive hair loss or thinning hair. It’s estimated that 40% of women by the age of 40 will have a degree of hair loss, and 50% of men by the age of 35. Studies have proven that individuals with hair loss look older than they actually are. Women can do very little to hide their problem. They are presumed to have health issues or, even worse, labeled as not caring about their appearance. A woman can be embarrassed when she tries to go to the salon to get help. Too often, the stylist will tell her that there is nothing that he or she can do.

Major Causes Of Hair Loss In Women •

Physical Stress: surgery, illness, anemia, rapid weight change

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Emotional Stress: mental illness, death of a family member

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Thyroid abnormalities.

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Medications: High doses of Vitamin A, birth control pills, menopause.

For the men who can’t shave their head or wear a hat to work, they too face the same dilemma as the women. They are often over looked for promotions for a younger-looking counterpart. They’re reluctant to even try hair replacement because of all the bad results they’ve seen in the media and even on their friends or family members. They don’t explore other resources to see if there really is something revolutionary that can give them back the look they’ve lost, through no fault of their own.

Transitions Member Advance

Techniques is a proud member and the only studio in the State of Virginia to be part of the elite group of Hair Restoration Specialists, comprised of an award winning international membership of the world’s finest hair replacement and hair restoration clinics. www.reallusionshair.com “A breakthrough technology that yields unbelievable results!”

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Low Level Laser Hair Therapy

Non-Surgical Hair Replacement

This could be in a class by itself. Recently approved by the FDA to re-grow hair, LLLHT has taken a hold on the market. IN studies 57% of individuals will re-grow hair, 85% will experience a halt in hair loss while 100% of users see a thickening of the hair shaft. Success is seen those individuals who are in the first 5 years of hair loss.

Laser Hair Therapy is a non-surgical therapeutic laser. It is the most powerful laser that is safe for cosmetic purposes. LLLHT is “cold-beam” laser technology. The power level is so low that is virtually a mere vibration that you cannot feel, harmless but effective.

This is the choice for more and more individuals because of the advances in technology and the natural look that’s now attainable. The options available today with Reallusions™ and Virtuesse™ have made it easier for many. The definition of hair replacement is any additional hair added to ones existing hair or scalp to give the appearance of fuller, thicker hair. Compared to all other options, hair replacement systems represent and affordable method with immediate results for solving hair loss. If a person is not satisfied with the results, it can be reversed completely without any risk or scars.

Today’s hair replacement has improved over the years. They no longer look like a toupee or common wigs. The results are truly amazing in regards to creating a seamless natural front.

They are very light density, breathable, and much thinner, like another layer of skin.

Attachment methods allow the wearer total freedom. They can participate in normal activities, such as working out and swimming with no detection. There is no need to remove anything before going to bed.

Coverage can be just where the client needs the hair. Whether it’s just on the crown of the head or full head, the same natural look can be achieved.

Advance Techniques has studied all the options, attended continuing education, and visited numerous studios to give you honest answers to your hair loss issues no matter what the situation may be.

Advance Techniques 9550 Midlothian Turnpike, Suite 201 North Chesterfield, Virginia 23235 804-323-4040

We restore more than just your hair.. . ** *trust ** confidence ** self-esteem www.advancetechniquesva.com www.iwanthair.com www.reallusionshair.com www.vrhair.com Hours: Tuesday - Friday 9:00 - 6:00 & Saturday 9:00 - 2:00

Appointments are strongly recommended for your convienance

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M Health Medical C y Gretchen Makai, M.D. B

Gretchen Makai, M.D., is a gynecologist and Director of Minimally-Invasive Gynecologic Surgery for Christiana Care’s Department of Obstetrics and Gynecology. Dr. Makai earned her medical degree from Columbia University College of Physicians and Surgeons, where she won the Thomas F. Cook Prize for Excellence in Obstetrics and Gynecology. She completed her residency in Obstetrics and Gynecology at the combined program between Brigham and Women’s and Massachusetts General Hospitals in Boston, Mass. After residency, Dr. Makai completed a Fellowship in Gynecologic Endoscopy at Newton-Wellesley Hospital in Newton, Mass.

Evaluating Abnormal Uterine Bleeding

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Abnormal uterine bleeding is a common reason women see their doctors. Abnormal bleeding can occur at any age of life and has many causes – some are easily treated, while others are more serious. Women should consult with their health care providers if ever they have bleeding concerns.

The first step in diagnosing abnormal bleeding is to recognize normal and abnormal menstrual patterns for women in their reproductive years. Normal menstrual cycles usually start every 21 to 35 days; that is, a woman gets one period every three to five weeks. Bleeding that is more or less frequent than this is abnormal. In addition, bleeding between a woman’s regular cycles is not normal. Other important considerations include how much and how long a woman bleeds.

Periods which cause women to bleed excessive amounts

(technically, more than 80cc of blood per cycle) or that last more than seven days, are too heavy.

Spotting-only or missing a cycle altogether is too little.

There are times in women’s lives when they may be more likely to have abnormal uterine bleeding.

In the years immediately after a woman starts menstruating and again in the years before she enters menopause (defined as 12 months without a period), women may have irregular cycles due to the changes in hormonal regulation in the body. In addition, as women age, their chance of having a medical condition, structural lesion or other cause of irregular bleeding may increase. Regardless of age, any woman whose regular cycle suddenly changes is best advised to ask a doctor about it. Women who have any amount of bleeding after menopause should always seek an evaluation.

There are many causes of abnormal uterine bleeding, most of them benign. Pregnancy, changes in the hormonal cycle and structural abnormalities are common causes. Abnormal lesions in and around the uterus (for example, endometrial polyps or uterine fibroids) can interfere with the body’s natural way of slowing or stopping a woman’s period, resulting in excessive bleeding.

They can also cause women to bleed between periods and produce other disruptive symptoms.

Numerous medical problems which affect the body’s hormones or overall health also cause changes in menstrual bleeding. Specific conditions which result in abnormal clotting may predispose women to heavy periods and medications that thin the blood may have similar effects. Certain infections in the uterus and cervix can trigger bleeding. Rarely, abnormal bleeding may be a sign of cancer.

Because there are so many causes for abnormal uterine bleeding, the evaluation of this problem starts with a thorough history by your care provider, including questions which address the issues above.

He or she will ask specifically what changes are occurring, how long the changes have taken place, and what other symptoms or signs a woman may have experienced.

Other information which a doctor may ask a woman include her medical and surgical history, family history, pregnancy history, sexual history and her use of medications, including tobacco and alcohol.

Overall, abnormal uterine bleeding in women of reproductive age is usually benign, but it often can, and should be, treated. For these reasons, women are encouraged to seek care if they are having bleeding concerns. Any woman who has bleeding in menopause should see her doctor for an evaluation.

That pain that just won’t go away, somewhere below your belly button?

The specialists at the Christiana Care Center for Women’s Health know just how to identify – and deal with – this commonly ignored problem. We’re here to support you and your doctor with the latest diagnostic tools and treatments to minimize symptoms and correct problems. It’s just the kind of expert help you need to live pain-free.

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The County Woman Newspaper

Spring 2013 December 2011/January 2012

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M Health Medical C The Virginian is proud to be recognized as one of U.S. News & World Report's "Best Nursing Homes for 2012" in their list of 5 Star Ranked Communities.

— U.S. News and World Report

We serve our patients with joy, humility and gratitude.

We embrace humility, recognizing that the needs and interests of our patients are paramount over our own preferences and inclinations. We express gratitude, acknowledging that service to others is the most enduring of human pleasures.

CARING FOR YOU

The Virginian Home Health Services is part of The Virginian CCRC, serving Residents for over 30 years. We are dedicated to providing our Patients with warm, skillful and compassionate care in their place of residence. Offering an individualized approach to each Patient’s plan of care, our services are delivered by experienced Registered Nurses, Licensed Therapists, Licensed Practical Nurses, Certified Nursing Assistants and Medical Social Workers. We encourage you to call our office at 703-259-6351 to speak with us.

SERVICES SKILLED NURSING SERVICES • Initial Assessments • Reassessment Visits • Education & Training • Medical Case Management • Medication Management

PERSONAL CARE SERVICES • Exercise/Range of Motion • Bathing/Skin Care • Dressing • Mouth Care • Grooming

HOME HEALTH SERVICES Treating patients like family.

REHABILITATION SERVICES • Physical Therapy (mobility, strength, ambulation, balance) • Occupational Therapy (training in activities of daily living, home safety, and upper body strengthening) • Speech Therapy (communications & swallowing)

Services are offered on an as needed basis and can be scheduled Monday through Friday from 8:30 a.m. – 5:00 p.m.

Rates for Nursing and Therapy services will be based upon the current Medicare fee schedule.

The agency is in compliance with Title VI of the Civil Rights Act of 1964, with Section 504 of the Rehabilitation Act of 1973 and with the Age Discrimination Act of 1975. We do not discriminate on the basis of race, color, religion, sex, national origin, age or disability with regard to admission, access to treatment or employment. We will make every effort to comply with these and similar statutes.

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M a rch / Ap r il 2 0 1 3 | N OVAWO MA N .C O M

The Virginian Home Health Services 9229 Arlington Boulevard • Fairfax, Virginia 22031 703-259-6351 phone • 703-731-2926 (after hours) www.thevirginian.org

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M Business Financial C y Darcy Warren B

Darcy Warren is the Communications and Events Director for the Chesterfield County Chamber of Commerce.

She plans the five annual events for the Chamber and handles all PR, marketing and communications. She also assists members with their marketing to the Chamber membership. Originally from Tucson, Arizona Darcy moved to Richmond ten years ago and loves living in the area. She has been a part of the Chesterfield Chamber for about five years now first as a member and now as staff. She is a graduate of the University of Illinois and has worked in event planning and marketing since graduating in 2001 in both Arizona and Richmond. Darcy is married to James Warren, has two step sons and is expecting a new baby in January!

Play Chesterfield! 9th Annual Golf Classic

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The ninth annual Chesterfield County Chamber of Commerce Golf Classic is one of the top networking golf tournaments in the county and it is taking place on Friday, September 27, with a shotgun start at 1:00 p.m.

The tournament will be held at The Country Club at The Highlands, one of the most scenic golf courses in Virginia. It has long been recognized as one of the commonwealth’s foremost golf facilities and a genuine golfer’s paradise. Strategically routed through rolling, tree-lined hills, noble hardwood trees and serene lakes, The Highlands Golf Course offers 18-holes of championship play, practice facilities and more.

The tournament is primarily designed to promote the business community, specifically the members of the Chesterfield Chamber, create a networking environment for the members, bring in potential new members, raise necessary funds for Chamber projects and other events, and all while having a fun time at one the finest Country Clubs in Chesterfield! Play includes 18 holes of championship golf and carts, practice range balls, box lunch, steak dinner, door prizes, complimentary cigars, cold beverages, individual and team awards, closet-to-pin, longest drive and putting contest and a lot of wonderful prizes and gifts.

Darcy Warren, director of the golf tournament for the Chamber wants to extend an invitation to all businesses to play in the tournament. “While many players will be Chamber members, we encourage non-members to sign up as a team or individual. It is a great way to meet potential clients and learn more about our wonderful organization.”

This year, the Chamber has added a

new element to the tournament and partnered with Chamber member, CCHASM, and has committed to donate 50% of proceeds raised from the golf tournament raffle to their organization. CCHASM is a [501 ( c ) (3)] that serves individuals and families in the counties of Chesterfield, Dinwiddie, and Prince George, as well as the cities of Colonial Heights and Hopewell, who have found themselves in an economic crisis. In 2012, CCHASM served over 8,000 families through their 23 Alliance Food Pantries, which came to about $786,000 in food value. In addition, over $43,000 in financial assistance were give to families to help with rent, utilities, medicine, auto repairs and more.

Raffle tickets are on sale now and throughout the day of the tournament. A list of the prizes can be found at www. chesterfieldchamber.com. Tickets are $5 for one or $20 for five and can be purchased by contacting Darcy Warren at (804) 748-6364 x 6 or darcy@chesterfieldchamber. com. People do not need to be present at the tournament to win.

Anyone is welcome to participate in the raffle to help us raise money for CCHASM and the Chamber.

Bill Stephens is the chair of the golf committee and a Chamber member with his company Frandiscover, LLC. Bill is a lifelong Chesterfield resident, attended Chesterfield County Schools from grades 1-12, a graduate of VMI, served in US ARMY Reserves for 8 years, is a past president of VMI Keydet Club and of course, an avid golfer. When asked about the importance of the Chamber’s golf tournament he said,

more tax revenues and more money to support county services and schools. Good business is very important for our community and our tournament is an extension of the mission of the chamber.

Additionally, we are helping a local charity, CCHASM and I’m very proud of that fact.”

As the golf tournament chair, I have played and organized numerous charitable golf tournaments in multiple states over the past 20 years. That experience and my passion for golf allows me to understand the balance of having an event that meets the goals of the organization (the Chamber), while providing the participants with a

“The primary organization we are supporting is the Chesterfield Chamber and all the good that it does for the community and businesses. Business growth means

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fun and valuable experience. My goal would be that our Annual Chesterfield Chamber Golf Tournament will become one of the premier and more popular charitable golf events in the county each year.

To learn more information about the tournament or to sign up, visit www.chesterfieldchamber.com or call (804) 748-6364.

9330 IRON BRIDGE RD, SUITE B CHESTERFIELD, VA 23832 804.748.6364

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M Business Financial C

y R. Caren Bitar B

R. Caren Bitar earned B.A. and M.A. degrees in English before going on to teach undergraduate creative writing.

She then worked in offices for years as a writer and editor. Ms. Bitar decided to take her talents to the Web. WhizMarks.com was founded in the Summer of 2010. Numerous individuals and businesses around the world now benefit from her expertise. She currently serves as Copy Editor for Fairfax Woman Magazine and its sister publications in Northern Virginia and Southern Maryland. Please contact Ms. Bitar at editor@whizmarks.com

8 Reasons For Flawless Writing

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If you’re writing a paper, resume or business proposal, in the back of you’re mind, there may be a voice asking: how do I make this really good? Like a good first impression, effective writing can leave a longlasting impact on others. You can seek an editor to iron out those flaws in your document. Here are some reasons why you definitely should obtain a crucial second look:

Intelligence: A nicely written document can make you seem intelligent, which can be an asset to any employee. Being smart is good.

Why not let that shine?

Perception of Control: Just like people who dress well and place their hair in just the right place, if your documents are written well, you may be perceived as being totally in control. That’s important in numerous ways. Business ideas could fall through if the concepts aren’t clear or presented well.

Correctness of Speech: If you’re a good writer, you may come off as potentially well-spoken, too. A clean resume may get your foot in the door because potential employers will more likely want to talk to you. Clear speech can help any business when it comes to answering phones and explaining concepts to clientele in person.

Clarity: There is little worse than becoming confused while reading a document. It can be discouraging for readers. Errors can distract from the concept being expressed in a document. If the language, grammar and punctuation are incorrect, a point may not come across well.

Educated: If you have the language skills to write well, there may be more skills up your sleeve. Don’t underestimate the power of wellplaced words.

with your words can offer the impression that you’re an honest person, doing honest business.

If readers receive ideas without distracting errors or confusion, an honest piece of work comes through.

Inspire: It’s quite possible that your thoughts are an inspiration to someone else. Your ideas, descriptions, and proclamations can ignite someone else to think along the same lines…that is, if they are effectively written.

Set a professional standard: Flaws in a document can be embarrassing.

From web sites to brochures, it’s better for the language to be flawless. An organization should accept no less and reflect a professional standard.

If you’re writing a dissertation, resume, letter, proposal or more, contact R. Caren Bitar for editing at editor@whizmarks.com or (917) 740-0577. She earned B.A. and M.A. degrees in English before going on to teach undergraduate

Honesty: Being clear and intelligent

Dear Custom er, When I was a kid, a scoo p of ice crea B E F OR E : years, the co m cost 50 ce st o nts. O ver th to rise). This f a scoop has consistentl e y risen (and er w ill continu monoxide- co osion of purchasing pow e er (inflation lorless, odorl ) is es cards severa l years ago w s, and deadly. We first st like carbon ith a sole $2 arted sendin the amount bill. In 2010 g to $2.35. Fo we increased r 2011 it rise your cost of s to liv ing w ill ri $2.50. Like se over time Ice cream, This loss of p as the dollar urchasing po er o d w es in value. er is what w Enjoy your sc e help you p o op ! rotect again st.

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creative writing. After working in offices for years as a writer and editor, Ms. Bitar decided to take her editing skills to the Web. Numerous individuals and businesses around the world now benefit from her expertise. Check out www.whizmarks.com for more information.

Testimonial “If you as a professional do not have the time to sit down late at night and draft a letter or question whether you are sending the right “message” to your clients, please consider WhizMarks as your professional companion. If you are still writing those term papers, get some sleep and send it to them” - Deb G., Realtor Northern Virginia

WhizMarks.com Turn your document into a well-written product that will instill confidence in your clients, professors and future employers.

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Editors on our staff can make a real difference, which is important in today’s world. Whether it is a thank you note, a research paper, or article, we are the professional editors to fit your needs in 48 hours or less guaranteed!

Visit Whizmarks.com to upload your document today!

Fast, Affordable, Document Editing

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M Business Financial C

y Denise Kranich, LINC Executive Director B

LINC is a nonprofit, community-based organization dedicated to helping people with the business side of cancer.

Serving the Central Virginia community, LINC provides information, education and referral services for legal and financial assistance to individuals confronted with the overwhelming issues that arise from the diagnosis and treatment of cancer.

Cancer Patients With Legal Needs

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Receiving a cancer diagnosis is bad enough, but what happens if you run out of health insurance, and you have to use up all of your savings accounts and your children’s college funds? You don’t think that can happen to you? Think again. It happened to cancer survivor, Reed Whitener. Reed was diagnosed with multiple myeloma, a rare cancer that attacks the blood and bone. Within three months of being treated, he exceeded his million dollar health insurance cap and owed several hundred thousand dollars. Besides trying to beat “the Big C,” Reed was wondering how his family would survive financially.

What could be worse than having your child diagnosed with leukemia? What if you were traveling back and forth to an outof-state children’s hospital just trying to keep your child alive? You had to quit your job. Your spouse had to scale back his work to take care of the other children. Can you imagine having your house put into foreclosure while fighting for your child’s life?

Have you ever thought about what happens to a child under 18 if the mother has passed away, and the father suddenly gets Stage IV cancer, and he dies without providing a guardian for his son?

Who will take care of him? Can his daughter raise him (which is what the father would have wanted) or will the court give his brother guardianship?

All three of these stories are true stories, and our Client Services Director hears more like them each day. All of our stories are challenging and can be heart wrenching, but many do have happy endings. LINC or Legal Information Network for Cancer helps cancer patients and their families with their non-medical needs. Our goal is to take cancer

patients’ minds off of their existing legal and financial problems and help them to find solutions or answers, so they can concentrate on getting well. Unfortunately many cancer patients may not get well, but our goal is to give them peace of mind where their family is concerned, so they can stop worrying and spend that much needed precious time with their families.

unexpected cancer issue I lost it all and then some. We walked out of the financial planner’s office feeling awesome and relieved. He was very optimistic about our situation and told us we might not have to go bankrupt after all!”

LINC was created 18 years ago by two local attorneys, Phyllis Katz and Ann Hodges who both underwent treatment for breast cancer. They were having their own legal and financial challenges, and many other cancer patients were also seeking their advice and counsel.

Phyllis and Ann started LINC to address the business side of cancer.

“Sarah Gonzalez at LINC was most helpful. She quickly put us in touch with an excellent attorney who helped us with our legal needs.

Thank you so much for lightening our burden at this difficult time in our lives.”

“I could not ask for more. This gives me peace of mind as I am

Over time LINC has helped thousands of cancer patients with their legal and financial challenges.

Our areas of expertise include wills, powers of attorney, advance medical directives, Social Security and Medicaid denials, insurance coverage and employment issues, bankruptcy and debt collection, and financial resources or planning.

If you have cancer or know someone who has cancer, and they are struggling with legal or financial issues, please have them call our Client Services Director, Sarah Gonzalez or Client Services Counsel, Crista Whitman. They will ask you a few questions, and if you qualify for our services, Sarah or Crista will find a pro bono attorney among the 150 dedicated and compassionate volunteer attorneys to handle your challenge.

preparing for the worst, but hoping for a good outcome after chemo treatments. To have an updated will is a must.”

“At a young age you do not expect a cancer diagnosis like this, let alone have all your affairs in order. The attorney we were referred to did our wills in two days and came to the hospital room to sign the paperwork.”

“The LINC representative I spoke with was very nice and really helpful. Thanks so much. My Auntie is putting up a great fight, and we intend to win!”

Steak-Out for Charity Sedona Taphouse 15732 WC Commons Way Midlothian, VA 23113 August Mondays for LINC Get an 8 ounce Angus steak over redskin mashed potatoes for only $5.

20% of all the sales of this item goes to LINC! August 5th, 12th, 19th, and 26th

LEGAL INFORMATION NETWORK FOR CANCER WWW.CANCERLINC.ORG 1459 JOHNSTON WILLIS DRIVE PO BOX73281 RICHMOND, VA 23235 PHONE: 804-562-0371 x1 FAX: 804-918-0946

No one should have to fight cancer alone.

Testimonials “I may not have had millions but I did have thousands and due to the

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M Fitness Lifestyle C

y Lisa Hazelgrove B

Lisa Hazelgrove is a Wellness Educator with the University of Richmond and a Nikken Independent consultant.

She has been in the wellness industry specializing in nutrition and sleep for 10 years.

The Environment We Live In

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The Earth should be nurturing and stable, full of endurance and strength, an inherent power with marvelous influences of our natural environment. However due to the developing world, we have unplugged from the earth’s ancient elements; air, water and the ground itself.

We are drowning in a sea of toxic proliferation. Our homes should be a refuge, but instead our children are coming into this world with over 200 chemicals coursing through their veins. Could our environment, homes and body’s own ecosystem make a difference between sickness and health?

The World Health Organization estimates that 4.6 million people die each year from causes directly linked to air pollution more specifically from indoor air pollution. Deaths that are attributed to air pollution include aggravated asthma, bronchitis, emphysema, lung and heart diseases, and respiratory allergies.

The chemicals used in agriculture such as nitrates, fertilizers, pesticides and other byproducts of human industry such as heavy metals and oils can determine water pollution. The EPA suggests that we should probably remove the 2.6 billion pounds of toxic waste in our drinking water.

Earthing, or otherwise called grounding, actually decreases our exposure to potentially disruptive electromagnetic fields. Our connection to the earth delivers electrons that neutralize the inflammatory response due to stress and collateral damage. Until now, these negative charges have always been available, thanks to the Earth. That is shifting because of our unhealthy environment and the concrete jungle we currently live in.

We rely on these electrons to help prevent damage to healthy tissues, but how often do you actually get outside each day?

What if there was a solution?

There is.

NIKKEN is a company that has been providing products that replicate Mother Nature’s principles, the earth’s natural energies, for almost 40 years.

Their non-toxic green technologies support our ability to restore a natural balance, by creating a greenhouse environment for our bodies & protecting us from environmental toxic influences.

Air If you are not filtering your air, your lungs are the filter. The Nikken Air Wellness Technology combines multistage filtration, including a state-of-the-art ULPA filter, negative-ion generation and a unique system that operates without producing ozone.

incredible amount of manmade electrical frequencies that surround us. Nikken provides magnetic, far infrared (earthing), pimag (living) water, air filtration (negative ions) products that enhance our energy and facilitate healing.

Testimonials “I had severe allergies, coughing and difficulty breathing; my symptoms cleared up within a few hours of using the Nikken KenkoAir Purifier (extremely effective). Thank you Nikken!” Niky Davis

Nikken has the answers that help create an environment for you and your family to counteract the toxic world we live in and optimize your ability to feel better.

“My husband was in renal failure, looking at dialysis &/or kidney transplant in 2004. He was introduced to the Nikken Pimag water & magnetic products & has had completely normal kidney function for the past 9 years. We are so grateful that someone shared Nikken with us!” - Georgie Wyatt

Nikken doesn’t make any medical claims as to what results each individual will experience.

Water If you are not filtering your water, your kidneys are? Water is an essential part of our electrical body, so make sure it is safe, healthy, alkalinizing water. Nikken’s PiMag Water Technology begins with a high-tech, multiple-stage filtration system based on natural materials to clean water without chemicals. It adds Nikken magnetic technology and ceramic elements that impart minerals to produce pi water, known in Asia for decades as “the water of life.”

Lisa Hazelgrove 804-5393251 lisa@lisahealthy.com

Beatrice Miller 804-852-1775 bea.miller@halo.com

Barbara Satterwhite RN 804-437-0243 barbsatterwhite@gmail.com

Japanese Health Research Institute 39 years, 38 countries, 40 million customers

Join the Movement Looking for partners that embrace natural solutions Want extra income?

Home based business “No Inventory”

5 week experiment Utilizing water (tap water, reverse osmosis, well, Nikken PiMag) respectively from left to right.

Water was changed weekly. If the Nikken water does this to a plant, think what it will do for your body!

Natural Energies Our energy is depleted with the

Become healthier Become a business partner Become a referral source (a friend who tells a friend)

Nikken

Discover It, Live It www.nikken.com/satterwhite

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There is a lot of controversy over which is better, blending or juicing.

Proper juicing delivers massive amounts of nutrients to your body in a cup. This eliminates the need for digestion and goes right in to your system and deeper into the cell. Juicing requires less work for your digestive system, eliminating the fiber from the vegetables that you juice. When juicing fruits you want to be careful not to juice too many fruits. Since fruits have a lot of sugar in it, the sugar is going straight to your blood steam and as you know cancer and sugar go hand in hand. I recommend staying away from juicing fruits

and other vegetables with very low sugar content such as greens. This is a crucial part of healing for those that have cancer. The energy you experience when juicing “green” is amazing! Your body can now cleanse and heal.

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www.RVAWomensJournal.com

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M Fitness Lifestyle C y Maria Williams B

Maria Williams, The Clean Water Mom, serves over 18,000 customers nationally with whole house water filtration systems from Kennett Square, PA. Visit online at www.cleanwatermom.com or www.puriteam.com.

Picking The Right Filter For You Is Easy Because we’re an online business, we pride ourselves in cool tools used to educate you and help make your selection much easier. If you have city water, you can use our “water wizard” which helps you choose the right filter for your home. Use this shortened link to get there: http://bit.ly/ReCbQp

What’s In Your Water?

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In the U.S. we enjoy some of the best tap water in the world. It’s not something we think much about unless we don’t like the taste or odor of our water. But there is so much more to the quality of our water than its taste and odor. Yes, it’s important to have great tasting water, but it’s also important to be sure it’s free of impurities that are probably affecting your family’s life more than you know.

For example, water from a municipal source (about 85% of the country gets their water from the “water company”) contains either chlorine or chloramine, which is used to disinfect water.

These disinfectants can be harmful in and of themselves. They create “disinfectant byproducts,” or DPBs, which are created when these gases are heated, such as in a bath or shower. Studies have shown as much as an 83% increase in getting a tumor and 35 percent increase in getting bladder cancer as a result of exposure to DBPs. Another example is lead. Both groundwater and surface water supplies are susceptible to heavy metal infiltration. Surface water is often contaminated with mercury (and other contaminants) from the rain as well as from run-off of metals, such as lead, arsenic and cesium, from industrial, commercial, agricultural and residential presence.

What’s the danger with heavy metals? Bio-accumulative, they build up in vital organs such as the liver, kidney, lungs, and colon.

They also amass in the lymphatic and neurologic systems. Heavy metals cause a wide and varied host of neurological, immune, and gastrointestinal problems.

These metals trapped in the body’s

tissue are not easily removed and relatively low levels can diminish health.

The Top 7 Reasons to Filter ALL Your Water in Your Home • Prevent Cancer According to Prevention Magazine, it’s the number one way to prevent cancer. “You’ll reduce your exposure to known or suspected carcinogens and hormone-disrupting chemicals.

A new report from the President’s Cancer Panel on how to reduce exposure to carcinogens suggests that home-filtered tap water is a safer bet than bottled water, whose quality often is not higher — and in some cases is worse — than that of municipal sources, according to a study by the Environmental Working Group.”

• It’s the Stuff You Can’t See Most contaminants in your water are not visible. This photo here was taken after about 6 months of use on city water. Perhaps you assume that only well water has significant dirt and debris in it, but judging by this image, that’s not the case. This is just one filter out of the many we receive from customers with very similar or worse condition. Many even catch large pieces of debris – such as insects, worms, paper, rocks, and more.

• Maintain Only One System A whole house filtration system will eliminate the need for multiple filters such as shower filters or separate drinking water filters. However, some choose to opt for additional filtration of inorganic contaminants such as fluoride, which whole house water filters are not designed to remove.

• B etter Tasting Water Encourages More Drinking Since most Americans are chronically dehydrated, it’s a good idea to drink enough water each and every day. Experts say we should drink half our body weight in ounces each day. So if you weigh 150 pounds, you should drink 75 ounces per day.

Or at least strive to.

• Well Water Carries Even More Risks Because well water is not regulated, you are responsible to ensure it is safe. Well water should be tested at least annually by a certified lab. This may cost several hundred dollars a year, but it’s worth knowing that there are no bacteria such as e-coli, coliform or other harmful bacteria in your water.

• W e Do More With Water Than Drink It Why do we encourage whole house filtration? Because we do more than just drink our water.

We shower, bathe, brush our teeth, launder our clothes and more. Filtering all this water is your best bet for healthy water in your home – for all purposes.

Even at 3am in the bathroom.

www.cleanwatermom.com • 888-491-4100

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• L ast But Not Least, Peace of Mind If you don’t filter your water, then your body becomes the filter.

Your liver, kidneys and colon will filter the water when it’s not filtered prior to consumption or being consumed.

“You Have a Great Product and We’re So Glad We Purchased It.” “I wanted to let you know that we are loving our whole house water filter. Our water tastes wonderful! There’s no more running to the little filter at the kitchen sink, which always seemed to need replacing, and which worked poorly after a while anyway. Also, we can shower without the awful smell and skin-irritating problems of our heavily-chlorinated city water.” ~ Ann Low, Georgia

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M Fitness Lifestyle C

y Christie Cook B

Christie Cook is the publisher of the Chesterfield Women’s Journal. Her love and passion of the Chesterfield Women’s Journal is unparalleled. As breast caner survivor, Christie works with other newly diagnosed women to help and support them as they meet and conquer the challenge of cancer.

It’s Time

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Not understanding the “Why’s” isn’t always easy. At times, trying to figure out why things happen may be what is hindering us and holding us back. The time spent in looking back, keeps us from moving forward. One can never move to a better place if they are staying rooted in the negative experiences of the present and the past. There may, or may not, be a logical explanation as to why someone may be experiencing the challenges that they are facing. Our challenges can, and have in many cases, taken us to a place of pain, disappointment, hurt, and not being able to fully enjoy life. Many people are now faced with becoming full-time care givers, where there is no plan in place. Many people are feeling unsatisfied in their love relationships. Many people are concerned about their economic situation and providing for their families. Cancer has become so common among us, that it clearly has no regard for age, race, or one’s economic status. The challenges out there in living day-to-day are many, and sometimes the answers appear to be few.

Have you ever heard the saying, “As long as you have a breath of air, you have hope”? It’s true, but you have to want to live in the now. Making the best of each moment regardless of how hard it may appear, pressing forward with an expectation that your situation will get better. Everything is not lost, it is not all hopeless. But in order to move to a place of having hope, from being in the place of being hopeless, you have to believe that your situation CAN change.

That first step of belief is critical to moving forward; it’s the direction you want to be in. You must move to a place of overcoming. Quick answers and quick fixes don’t exist; it’s not what life is about. Many of the trials and tribulations that we

face are experiences that we would rather not go through if we had the choice. But there are lessons to be learned in every experience. Being unemployed and having to live on very little, teaches the lesson of being a good steward and manager of resources when the money does return. Having a failed relationship allows for the opportunity to be introspective and self-critical, so that we can evolve and be better partners in our next relationships.

But you have to be open. You have to look for the lesson in every experience so that you can grow from it and move to a better place. Where you are in this moment does not define who you are and what you can achieve.

Choose to not to give up, choose to press forward. Tough times don’t last, tough people do. Don’t allow yourself for a minute to believe that your circumstance can’t and won’t change. How do I know?? I know because I’ve had to make that journey first hand. I had to fight to figure out what a new normal was for me. Through the battle of breast cancer, and literally coming close to death as I fought for that next day, it was a pressing forward time. But I did it, and it wasn’t always happy moments. It was no easy thing to do, but I needed and wanted to be different and to be better.

Words have tremendous power. Speak life into your circumstance, and seek the peace to know that it’s okay to take that step forward.

Don’t look back, other than to see how far you’ve come.

IT’S TIME!

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M Fashion Beauty C y Leisa Kanienberg, Professional Makeup Artist & Owner, iMakeup Artistry B

Leisa Kanienberg is a Professional Makeup Artist with more than 15 years of experience. She is also a licensed Managing Esthetician, Nail Therapist and Instructor and graduated from the Aveda Fredric’s Institute in Cincinnati, Ohio. In 2006, Leisa established iMakeup Artistry so that she could offer her makeup services independently. Her expertise includes beauty, bridal, film, television, editorial photography and fashion runway - having worked backstage at fashion shows such as Vanity Fair’s Fash Bash. Her work has been featured on NBC and a recent episode of “Cake Boss,” as well as published in several magazines including Fusion Flowers, and the cover of Missy Ink. Leisa’s favorite aspect of Makeup Artistry is beauty and bridal makeup, working with her clients in creating a new look to accentuate their personal features.

A Makeup Artist For Your Wedding Day

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Selecting a Makeup Artist for your wedding day may be like finding a new hairstylist. Think back to the last time you needed to find a new stylist. How did you go about looking for the right person?

Finding a Makeup Artist to suit your style may require a similar tactic. However, narrowing in on the right person will involve some research, as well as some trust.

Your wedding day makeup is critical for being camera-ready for your photographs. It’s easy to overlook or assume that your “everyday makeup” applied a little heavier will do the trick. It’s important to hire a Makeup Artist that specializes in bridal makeup, and that has been trained in how to create a long-lasting application that will look not only amazing in person, but also in photographs.

As you begin your search, talk

to your photographer about what kind of look you want for your wedding pictures and ask for a recommendation. Your photographer will be able to give you their professional opinion about someone in the industry that they may have already worked with.

Additionally, use local resources to research Professional Makeup Artists in your area. These may include local publications and bridal magazines, bridal websites or bridal shows. You should also ask for personal referrals from friends and family.

Once you have found an artist that you think you would like to use, get a sense of their credentials before you meet with them for a consultation.

Check out their

portfolio and see if their makeup style matches your own. Don’t be afraid to ask questions and get a sense of the artist’s personality. You will want to work with someone that is interested in creating a makeup that works with your comfort level, that will also offer professional advice and tips.

If you feel that you have found a good match, schedule your pre-wedding consultation, called a “trial run”, and be prepared to pay for their time. In order to make the most of your trial run, come prepared with magazine tear sheets or photographs of makeup that you like. This will give your artist a sense of direction in creating your look.

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When you have agreed to move forward with booking your artist, sign a contract. Just like any other vendor that you hire for your wedding, put all of the terms of your agreement in writing and pay a deposit. Be sure to include details in your contract such as your timeline, what time the makeup artist will start, a schedule of each person receiving makeup and when the makeup applications need to be finished for photographs before the ceremony. Schedule everything accordingly with your hair stylist so that the hair and makeup runs smoothly and effortlessly. Once all is complete, all you will have to do is put on your dress!

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M Fashion Beauty C

y Rhett Costello B

Rhett Costello entered the beauty industry in 1976 and was quickly chosen to become an educator for his first employer; a chain of mall salons nationwide. From there, Rhett moved to the international stage as a platform artist for one of the worlds leading professional hair care companies. Rhett traveled the globe as a guest artist, from Barcelona to Tokyo, all the while managing his progressive salon. After retiring from the hair show circuit, Rhett continued educating in Richmond, Virginia with his intensive apprenticeships; he has created his own competition by training many hair stylists that have gone on the become salon owners. At his present location, since 1990, “Rhett’s Salon” has become synonymous with quality hair care and cutting edge styles. Following in his footsteps is his daughter, Katelyn who now creates photographic masterpieces with her “pin-up” hair and photo sessions.

From 1950’s Frosting To Today’s Ombre

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Proper use of hair color is usually the last skill a hairdresser masters. I have been practicing hair coloring for over 36 years. I have done some beautiful color work, but I am not ashamed to say that early in my career, I made some pretty bad choices. Think about it for a minute, there are literally hundreds of tubes of different types of hair color. At my salon Rhett’s, I bet I have over 200 different shades, not counting hair lighteners.

Since I mentioned lighteners, let’s talk about them for a bit. Most salons use powdered bleach to blonde their clients’ hair. This is a product strong enough to take black hair all the way to frosting white. Hairdressers that use this type of product must constantly monitor the lightening process and rinse at the exact moment the blonde tone reaches the desired lightness. That’s insane!

Our products are milder and made to stop processing at the exact level of lightness you desire. We use five or six cream lighteners to create different, vibrant shades of blonde.

Occasionally we will need to adjust a blonde shade slightly. We always strive for nothing less than perfect.

I probably carry fifty different shades of blonde toners. These are pastel colors with extremely mild chemical compositions. When these toners are used by a professionally trained hairdresser, they are able to turn blonde hair into any shade; from strawberry blonde, to champagne, to every shade in between.

The subject “hair color” is so involved, I could write about it for hours and still not cover what a hairdresser needs to know in order to work at Rhett’s Salon. When I hire a new stylist, no matter what level of experience they arrive with, I spend 18 months training them to

be true color artists.

I don’t think it’s a stretch to say that every woman has had blonde highlights or at least wanted them.

At Rhett’s, we highlight hair all day, every day. Our #1 rule applies to color clients as well as haircut patrons, so no one leaves until they are happy!

One of the sharpest girls I ever trained left me after 5 or 6 years to open her own salon. I expected her to have great success because at the time, her skills were at a peak.

Years went by before she asked to return. Naturally I invited her to return, as she had been a star when she worked for me years before. She still had a book of clients, but every highlight she did was identical, and was using the exact techniques I had taught her years ago. It’s not big news to tell you color styles change regularly. The current trend at the time was the big, chunky slices that the hip girls and ladies were rocking out and we were doing them like mad. She, on the other hand, was still doing super small, weaved pieces that I had taught her when she was 18 or 19. I say all this to emphasize that color styles continually change and you have to stay current.

we’re telling them “No, let’s make that hair darker”.

An Ombre can progress smoothly from a warm brown to a beautiful golden blonde closer to the ends.

Some of our younger clients like them more dramatic, almost no transition from dark to the light. It took us months to get our clients convinced, but we did.

Now they leave Rhett’s with the latest look and the biggest smile.

We also do a lot of total blonde heads using products that don’t burn the scalp or hair. The classic

Marilyn look will always be in style.

There is so much more I could say about color, and I haven’t even touched on browns and reds! That subject will have to be written in another article.

Come to Rhett’s Salon and jazz your hair up with highlights or the new Ombre.

Until next time,

More recently, color has taken a turn to a more natural look called “Ombre.” Ombre is based on how Mother Nature naturally colors your hair. For various other reasons, natural hair is always lighter on the ends than on the scalp. Look at your daughter’s hair or anyone who has natural color, the hair progressively gets lighter from scalp to ends.

My daughter Katelyn and I brought this new look to Richmond from New York two years ago. At first our clients were not that excited, they were used to coming in to get their regrowth or roots blonde and now

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(804) 320-1882 9728 B MIDLOTHIAN TPK, MIDLOTHIAN

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M Fashion Beauty C y Margaret P. Daniel B

Considered an expert in her field, Margaret P. Daniel brings her expertise as a Certified Wedding Specialist and Certified Etiquette Trainer to each event she undertakes. With experience in the event sector of the hotel management industry as well as various other industries, she brings her expertise in planning some of Atlanta’s largest events. She is devoted to creating events that will leave lasting memories and satisfied clients.

“Our professional staff of planners and coordinators stays abreast of the newest trends in the industry. In designing personalized events for our clients, we often find ourselves not only following customs and traditions, but also creating new ideas and even setting new trends. We believe in bringing innovative and creative ideas to our clients.” -Margaret P. Daniel

7 Sins Of Wedding Planning

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Most women look forward to planning their wedding, but often don’t know where to start. They enlist the help of several people or worse yet, too many people. This can lead to mistakes that leave brides in tears, embarrassed or out of unexpected dollars. In order to have a wedding that doesn’t end in heartache or regret, there are 7 points you should remember to make your wedding a happier, regret-free day. The following are 7 Sins of Wedding Planning.

1. Not having a realistic budget.

All too often, brides begin planning their wedding without realistic figures of how much items will cost.

The best way to start planning a wedding is to determine a range of how much wedding services will cost. Then decide how much you’re willing to spend. Have a number in mind and stick to it! When setting your budget, include everything that is related to the wedding, i.e. from undergarments, and hemming for the tuxedos, to transportation and wedding party gifts.

2. Not having a realistic vision

in mind. You may have seen a wedding created by Celebrity Wedding Planner Colin Cowie, which included the bride and groom entering a scene including pyrotechnics and an ESPN announcer introducing the wonderful couple, and said, “I want that!” Yet, you’ve chosen to hold your wedding in the church dining hall and have your cousins set up your fireworks display. Doing so is the same as cutting your menu down to one entrée, asking for a keg instead of a bar, and wanting a camera man from CNN to come videotape your wedding. If you have grandiose ideas yet you’re working with a very limited budget, this is the time to talk to your wedding planner and share your ideas for a beautiful wedding. A professional can suggest ways to make your dreams come true

by offering economical and safe alternatives.

3. Trying to plan it yourself or

not hiring experienced wedding professionals. Would you hire a friend to deliver your baby (another important day of your life)? Then why leave your first introduction as “Mrs. X” in the hands of a nonprofessional? This may not be the best time to hire your cousin who just finished culinary school as your caterer for 250 people, or allow your friend who has only planned birthday parties to coordinate and facilitate your most important lifetime event. Invest in a professional wedding planner and other wedding professionals and trust that they will work diligently on your behalf.

4. Neglecting your groom. You’ve planned the reception, picked out the music and flowers, selected the DJ, met with the photographer, and the list goes on. Where is the input of your fiancé in the wedding?

Make sure to include him in the decision making and planning.

Excluding him could set a negative precedence on the marriage. Also, remember to take time out to be boyfriend and girlfriend. Continue to go on dates and spend quality time together that is void of talking about the wedding. Remember, the wedding is only one day; the marriage is for a lifetime.

might incorporate it in the groom’s cakes, the reception centerpieces or maybe even the music. Just make sure you and your groom are comfortable knowing you both did it your way.

6. It’s all about the dress! The

most important aspect of a wedding is making sure that you and your fiancé are officially married at the end of the day. But, the second most important aspect is usually the wedding dress. When you choose that perfect, ideal dress, make sure you get the correct size when ordering. Brides sometimes will order a smaller sized dress in hopes of losing the appropriate amount of weight to fit into it by wedding day, but that is not a good plan. It is best to order the correct size at the time of ordering. Remember, it’s easier to take in a dress than it is to let it out.

7. Including the gift registration

in the invitation. It still amazes me

5. Not personalizing your

wedding. You will receive plenty of advice on how you should plan your wedding, what types of flowers you should have, the type of music you should play, the ideal type of cake you should have and more. But it is a big mistake not to personalize your most important day. You don’t want to look back at your wedding in a few months or years and think, “I wish I would have done...”. This is the time to make your wedding yours and your fiancé’s. Include something that is special and specific only to the two of you. You

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to see wedding invitations with gift registration cards included. This is not only poor wedding etiquette, but it also sends a message to guests that you expect them to bring a gift. The proper way to handle the gift registration is via word of mouth. If guests want to purchase something off of your Gift Registry, they will call and ask where you are registered.

Testimonial “Margaret Daniel and RSVP Occasions, LLC went above and beyond the call of duty to make sure that my wedding day was flawless. Margaret’s attention to detail and unparalleled personality made me feel at ease throughout the planning process. I can’t imagine how I would have managed without Margaret’s expertise and coordination. Thank you for helping to make my wedding day a pleasurable experience!”

- Lashonda Council Rogers, Esq.

A Wedding Planning & Event Management Company The Ultimate Event Experience in • Wedding Consulting & Design • Corporate & Social Event Management • Etiquette Training & Image Consulting

Call us at 678.361.5505 or visit us online at

www.rsvpoccasionsllc.com

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M Community Education C y Anne Moss Rogers B

Anne Moss Rogers is a board member of BeaconTree Foundation, a non-profit focused on children’s mental health. A graduate of UNC School of Journalism and a former copywriter at the Martin Agency, she is cofounder and creative director of Impression Marketing, a full-service, results-oriented marketing agency that places Websites at the center of all marketing activities. Impression Marketing works with clients that have 10 or more employees and focuses on an improved marketing ROI for both B2C and B2B clients in healthcare, home services, nonprofit, manufacturing, and professional services. See Impression-Marketing.com.

Do You Have A Child Suffering With A Mental Health Issue? There Is Hope.

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You are humming along and things start to veer off-track for your child or adolescent. Then everything derails despite your best efforts. Grades drop, maybe a new set of friends emerges, your family life turns upside down and you’re not sleeping. Something is wrong. Yet finding out what is wrong with a young family member is an exceptionally difficult and complicated process. Welcome to US mental health system maze.

Defining Mental Health Issues When we say mental health issues, we are referring to today’s problems, which include depression, anxiety, illness of addiction, bipolar, eating disorders, OCD, cutting and more. These issues typically manifest themselves during adolescence.

Most treatment facilities are focused on short-term stabilization.

A week or 30 days and the child is back home. Sometimes that works.

Many times it doesn’t. Often it takes a long-term effort, which can mean a year or more, to help the child with medication, learning to cope with the illness, therapy and recognizing signs that they need to ask for help.

Parents shoulder the shame, the blame and suffer in silence Too often families suffer in silence. The process is lonely and very isolating. Parents of a child experiencing a mental health crisis are often criticized as having poor parenting skills. In fact, in the cases where those with a mental health problem have acted out violently, the collective response has often been humiliation and blame. Parents of kids suffering from mental health problems that acted out are stalked by the media and sound bites are sent over the

airwaves and the internet that imply the parents are to blame for the acts of their children.

Financial, professional and emotional support are integrated into the BeaconTree mission.

Those who’ve never had to navigate the mental health system cannot know how difficult it can be to control or get long-term help for a mentally ill child, particularly those that are delusional, have anger management issues or might be a threat to themselves or others.

Awareness of mental health as a topic that needs to be addressed more completely in our society.

In order to meet our goal of support, there has to be awareness.

Awareness that families with children who are at risk need to know they are not alone. And finally, we need to make others aware of the huge gaps in the mental health system that allow so many young people to go untreated.

Early intervention is the key to helping a young person become a contributing member of society and to avoid violent outbursts and episodes of self-harm.

In cases where parents do find help, children don’t always comply.

If they are 18 or 19, it’s out of the parent’s hands as these kids are considered ‘adults’ by law.

Obtaining the authority to have someone committed is not an easy or short process and many states don’t have the resources. In the case where a mentally ill person has hurt others and turned a gun on himself, nobody recognizes those parents as grieving parents who have also suffered a loss. Imagine how utterly devastating it would be to find out the child you did your best to raise has killed other people and then himself. We need to reach out to those parents, too, instead of accusing them of being failures.

There is hope Hope is the idea upon which BeaconTree Foundation was

Mental health problems do not discriminate, as they occur in both good homes and bad across all socioeconomic classes and ethnic groups. Illnesses such as depression or alcohol addiction have a genetic component. It’s time we reach out to parents with mentally ill children just like we’d reach out to a family of a child with cancer.

BeaconTree Foundation is an organization that is reaching out BeaconTree Foundation is a nonprofit started by Tom and Diana Leahy in 2008 and advocates for Children’s Mental Health.

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created. Goals include awareness, education and finding loans, scholarships and resources for long term care and successful treatment.

Future goals include building a long-term treatment facility that is based on a family’s ability to pay.

Long-term help can offer more sufferers the opportunity of a better life and overall help build a healthier community.

May is mental health awareness month. However, it’s never too late to reach out to a friend or family member with a child who suffers from a mental health problem. Do not judge and let them know you care.

For more information about BeaconTree Foundation, visit BeaconTree.org. Like us on Facebook at facebook.com/ BeaconTreeFoundation.

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M Community Education C

y Amy McVaugh B

Amy McVaugh, Studio Coordinator for Heather House Studio of Photography, ensures all orders are filled and meet strict quality control standards. Amy also fills in wherever needed at the studio from smoothing a client’s hair in the camera room to assisting with Marketing. Amy is also currently a student at John Tyler Community College and enrolled in the Photography and Film Specialization Program.

Choosing The Right Photographer For Your High School Senior

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As your high school senior begins an exciting new chapter in their life, it can be a great investment to document and celebrate this important milestone by having professional photographic images taken. Quite often, school photographers automatically give all high school seniors a prescheduled appointment with a photographer of the school’s own choosing. Parents sometimes do not know that they can choose a photographer on their own, and making that choice may be a great investment in the long run.

After all, your child is only a high school senior once. The photos taken today will be the ones shown at future high school reunions.

Professional photographs can showcase not only what your Senior looks like, but their invaluable interests, activities, and personality.

Seek References The best way to begin your search is by asking family, friends and neighbors for recommendations.

Look for positive experiences such as relaxing, unhurried sessions.

Does the photographer take time to get to know the student? Did they pay attention to small details and address questions?

An experienced, reputable photographer will have a physical studio as a place of business. Being proactive will ensure you can contact the photographer with questions. Take time to review their work and note any specific scenes or poses you find interesting.

If your high school senior has interests or hobbies that cannot be represented in the studio, ask the photographer if they are willing to provide personalized location sessions. Equine competitors, car enthusiasts, dedicated outdoors people, and even beach lovers are just a few who may want to memorialize their senior year in a unique, authentic manner. If your photographer knows you are willing to consider investing in personalized portraits, they often will provide these specialized sessions.

child is, and not just what they look like, are paramount to the true professional and meant to be passed from generation to generation.

Another sign of true quality is the photographer’s willingness to ‘sign’ their work. Normally the photographer’s signature/imprint is found in the lower right or left hand corner of all portraits.

Hidden Fees Ensure your photographer is up front regarding session fees, touch ups, color select, imprinting fees, yearbook fees, and any other type of service or alteration. A price sheet should be available upon request and prior to the placement of any order, clearly explaining anything considered additional services.

Another important question to ask is the amount of time allotted for the session. Variety is nice in portraiture, but too many outfit changes can create a rushed, frantic session. Your photographer should advise you how to utilize your time to create the best images for your investment.

Quality Does the photographer guarantee their work? Find out in advance what exactly their guarantee includes. Even though photography is a business, a true professional wants you to cherish these photos and will only be happy when you are. Rich skin tones and beautiful vibrant colors combined with the right custom backgrounds, props and poses showcasing who your

Even in a professional studio, prices will fluctuate. Typically, larger orders equal more savings.

Options What types of portraits interest you? If you envision a large canvas or oil, let the photographer know in advance. Some poses and backgrounds are preferable dependent on size or placement intent, such as above a fireplace or on a bare wall. A seasoned professional can offer excellent advice, ensuring your complete satisfaction with various options.

Price Because a private studio depends on quality over volume, you will notice a higher charge than retail and chain centers. An individual photographer offers the opportunity to personalize portraits by posing your high school senior with personalized props. Because of the higher cost of work and supplies used creating this standard, many photographers will offer some type of finance plan. It’s good to ask about cost beforehand.

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For more helpful hints, click on our Senior page at www. heatherhousestuido.com.

Heather House Studio of Photography 804 794 0017 Sycamore Square Shopping Center Village of Midlothian www.heatherhousestudio.com

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M Community Education C About the Virginia Museum of Fine Arts VMFA’s permanent collection encompasses more than 33,000 works of art spanning 5,000 years of world history. Its collections of Art Nouveau and Art Deco, English silver, Fabergé, and the art of South Asia are among the finest in the nation. With acclaimed holdings in American, British Sporting, Impressionist and Post-Impressionist, and Modern and Contemporary art – and additional strengths in African, Ancient, East Asian, and European – VMFA ranks as one of the top comprehensive art museums in the United States. Programs include educational activities and studio classes for all ages, plus lively after-hours events. VMFA’s Statewide Partnership program includes traveling exhibitions, artist and teacher workshops, and lectures across the Commonwealth. VMFA is open 365 days a year and general admission is always free. For additional information, telephone 804-340-1400 or visit www.vmfa.museum.

The Dorothy & Herbert Vogel Collection Fifty Works for Fifty States Jul 27–Oct 20 Free admission In 2009, Dorothy and Herbert Vogel distributed 2,500 works from their contemporary art collection to museums throughout the country, with 50 works going to a selected art institution in each state.

This exhibition will showcase all 50 of the works received by the VMFA. Begun in 1962, the Vogel collection has been characterized as unique among collections of contemporary art, both for the character and breadth of its works and for the individuals who collected them: Dorothy was a librarian and Herbert, who passed away in 2012, was a postman. By dedicating one of their salaries to art, they amassed an impressive collection over several decades, forming close relationships with many of the artists along the way.

Timely, Martin Johnson (American, born 1951), mixed media. Virginia Museum of Fine Arts, Richmond. The Dorothy and Herbert Vogel Collection: Fifty Works for Fifty States. Photo: Travis Fullerton © Virginia Museum of Fine Arts

The best-known aspects of the Vogel collection are Minimal and Conceptual art, but the donations also explore numerous directions of the Post-Minimalist period, including figurative and expressionist works. Works by American artists Anne Arnold, Robert Barry, Richard Francisco, Don Hazlitt, Martin Johnson, Steve Keister, Alain Kirili, Cheryl

Untitled,1992, David Novros (American, born 1941), ink on two joined sheets of paper. Virginia Museum of Fine Arts, Richmond. The Dorothy and Herbert Vogel Collection: Fifty Works for Fifty States Photo: Travis Fullerton © Virginia Museum of Fine Arts

Laemmle, Jill Levine, Joseph Nechvatal, David Novros, Larry Poons, Lucio Pozzi, Edda Renouf, Judy Rifka, Pat Steir, Daryl Trivieri, Richard Tuttle, and Thornton Willis are among those in the collection.

“As a diverse and rich body of work, the Vogels’ generous gift to Virginia attests to their passion for seeking the challenging, new art of their time, as well as their commitment to sharing it with a broad public,” says Dr. Sarah Eckhardt, VMFA’s Assistant Curator of Modern and Contemporary Art. Dr. Eckhardt curated the exhibition.

Learn More 3 in 30 Gallery Tour. Art, Friends, and Collecting: the Vogels Join Frank Saunders, Studio School Administrative Assistant, for a 30-minute gallery talk exploring three works from the special exhibition. Tue, Aug 6, 11 am; Thu, Aug 8, 6:30 pm. Free, no registration required. Meet at the Visitor Services Desk.

Film & Commentary Herb & Dorothy 50 X 50 Dorothy Vogel and filmmaker Megumi Sasaki discuss the film before the premiere screening.

Fri, Aug 9, 6:30–9 pm. Leslie Cheek Theater. $8 (VMFA members $5)

Dorothy and the late Herb Vogel in the Print Study Room, National Gallery of Art, 1992. Lorene Emerson. National Gallery of Art, Washington, D.C., Gallery Archives

HOLLYWOOD COSTUME Opening Nov 9 Hollywood Costume explores the central role costume design plays in cinematic storytelling. Bringing together more than 100 of the most iconic movie costumes from across a century of filmmaking, it is a once-in-a-lifetime opportunity to see the clothes worn by unforgettable and beloved characters in films such as The Wizard of Oz, The Birds, My Fair Lady, Superman, Titanic, Harry Potter and the Half Blood Prince, and The Dark Knight Rises.

Hollywood Costume is organized in collaboration with the Victoria and Albert Museum, London. Generous leadership support of Hollywood Costume provided by Mrs. Frances Massey Dulaney and Mr. & Mrs. Fred T. Tattersall. The Banner Exhibition Program at VMFA is supported by the Julia Louise Reynolds Fund.

Media Partners: NBC 12, Richmond Magazine, Richmond Times Dispatch Tickets: www.VMFA.museum

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Titanic (Kate Winslet),1997 ©20th Century Fox/Paramount/The Kobal Collection.

FREE for members Other Exhibitions at VMFA EARLY 20th-CENTURY EUROPEAN ART Ongoing JAPANESE DOLLS: Woodblock Prints by Kawase Hasui Through Oct 6 UNREAL: Conceptual Photography from the 1970s and ’80s Through Dec 29 CATCHING SIGHT: The World of the British Sporting Print Aug 31-Jul 13 CLARE LEIGHTON: From Pencil to Proof to Press Oct 18–Apr 6 Virginia Museum of Fine Arts 200 North Boulevard Richmond, VA 23220 804-340-1400 Admission free for VMFA members, children 6 & under, and active-duty military personnel and their immediate families $15 Adults $12 Seniors 65+, students with ID, adult groups of 10 or more, and

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The YWCA of Richmond provides comprehensive services for survivors of domestic and sexual violence including; individual and group counseling, case management, emergency and transitional housing, and hospital accompaniment. All services are free of charge. Terrence Reaves is the lead domestic violence counselor and operates out of the Chesterfield Mental Health Office on Lucy Corr Boulevard. Call 804-643-0888 to make an appointment.

Why Don’t They Just Leave?

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The most repeated question to those of us who provide services to survivors of domestic violence is, “why don’t they just leave?”

Domestic and sexual violence does not discriminate. It affects every demographic in our community-from the executive powerhouse to the single teenage mother-and each must come to his or her own path to break the cycle of violence. Individuals who have not experienced the trauma of an abusive relationship often find it hard to relate to those who are in one. We often hear others tell us how they would “leave the first time he (or she) ever raised a hand.”

We hear phrases such as “It’s her choice to stay” or “He (or she) will change.” These questions are so pervasive, it can cause a barrier of empathy for survivors or, most negatively, can lead to a lack of support for these services in our community.

The reasons people stay in abusive relationships are highly complex and vary from one person to the next. Emotional and psychological factors can be strong factors that prevent people from leaving their abuser. Emotional barriers include believing that the abusive partner will change or the abuse will stop, fear, lack of emotional support from family and friends, fear of a life style change, and feelings of hopelessness, helplessness, and guilt for leaving. Other situational reasons for staying can include fear of physical harm to self or children, economic dependence, lack of employment, lack of alternative housing, transportation, and cultural or religious constraints.

Since 1887, the YWCA of Richmond has been the leading force in securing an environment of change for women. For more than three decades, a leading component of our mission has focused on providing services for survivors

of domestic and sexual violence.

Today, we empower women and help all survivors rebuild their lives through emergency and transitional housing, case management, direct financial assistance, individual and group counseling, hospital accompaniment, a 24-hour hotline, and a host of referrals for other supportive services. In my role as a clinician, I have been part of a team that helps more than 900 survivors annually. The most common question I get when talking about my job and the clients I work with is “why don’t domestic violence victims just leave their abusive relationships?”

The answer is far more complicated than the question. From the outside, it seems simple: violence is unacceptable in a relationship, so no one should put up with it.

Unfortunately, abusive relationships are never simple. Domestic violence is a pattern of gradual controlled behavior used by one individual intended to exert power and control over another. Abusers do not walk around with a clear, flashing neon sign across their forehead saying “WARNING! I WILL ABUSE YOU!” In the beginning of a relationship, many of the warning signs and tactics an abuser uses to control their partner are not apparent. Gradually over time, the pattern of controlled behaviors increases and becomes more intense. Eventually, victims find themselves trapped in the cycle of abuse. In many abusive relationships, physical abuse is the last form of abuse to be used to inflict power and control. The majority of my clients endure emotional, sexual, and verbal abuse first before it becomes physical.

Even though the other forms of abuse don’t leave physical evidence, they are more difficult to overcome and heal. There can also be long periods of perceived harmony

between the violence. Most victims love their abuser and hope for them to change. Despite being in an unhealthy relationship, the victim’s love does not go away the first time he or she is abused. Like other problems in a healthy relationship, my clients still love their partners; they just want the abuse to stop.

Unfortunately the abuse does not simply stop. The longer victims are trapped in the cycle of abuse, the more successful the abuser is in exerting power and control over their victim. Abusers use a variety of tactics to manipulate and reinforce their control. When the victim in the relationship comes to the brave decision to leave, there are often several mitigating circumstances that interfere with the notion of simply walking out the door. For example, couples with children will sometimes always have a degree of contact as custody is arranged. Abusers frequently isolate their victims both socially and financially, making it difficult to reach out to support networks or have cash on the ready to secure new housing. Smart abusers will charge their victims with abandonment and use other fear tactics associated with the criminal justice system (like threatening to report recreational drug use, fabricated stories of child neglect, etc.). An all-to-common threat is injury to the family pet.

Other barriers include religious convictions regarding divorce and gender roles, shame, fear of isolation from family members, and a lack of legal resources to combat abusers who know how to use the system. All of these factors lead to what we in the business of providing services to survivors understand: it typically takes an average of five attempts before a survivor permanently leaves their abuser. We also know that the time of departure is the most dangerous

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for survivors because abusers may act out or escalate violence in response to the ultimate threat: losing control.

In my years at the YWCA, I can attest to the fact that women and men from all walks of life can find themselves in abusive relationships.

It is truly a rewarding and humbling experience to help and see these individuals move from victims to survivors. My clients are some of the most determined, strong willed, self-sufficient individuals I know.

I respect, value and appreciate them for sharing their stories and opening my eyes to this growing epidemic.

The next time you wonder why an individual “stays,” take a moment to consider the complex layers that come with abusive relationships.

And remember that we all have the ability to offer support by listening, refraining from judgment, and being there when a survivor makes the decision to leave.

If you or someone you know is experiencing sexual or domestic violence, please call the YWCA 24hr hotline for questions, referrals, and to schedule an appointment with a clinician.

804-643-0888

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M Dining Entertainment C y Shavannia Williams, President and Editor, Heels & Helmets B

Shavannia Williams is the founding partner of SW Group, a marketing and communications firm in Washington, DC that specializes in using media, events, technology and sports. She is also the president and editor of Heels & Helmets, a company that levels the playing field in professional environments by educating and exposing women to different sports. Prior to starting her own businesses, she worked in marketing for sports teams including the Detroit Lions, Washington Capitals, Washington Mystics and Washington Wizards. Previous and current clients include DC Women’s Business Center, Microsoft, NFL PLAYERS, USA TODAY Charitable Foundation, United Way Worldwide NFL Partnership and YUM! Foundation.

Football For Business

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What do these football analogies mean? Why should women care?

Sports analogies are commonly used in business environments to build camaraderie among employees (the team), identify responsibilities (player positions) and communicate the strategy (game plan) to meet business objectives (Win!). They aim to connect everyone to the emotions generated in sporting competitions.

They can be effective in engaging staff and creating the competitive spirit that we see on the football field. However, if the audience does not understand the sport, the message is not conveyed.

This is the case for many women when football analogies are used in the conference room. Even some women who watch their alma maters play football or tune in for the NFL’s Super Bowl, do not understand the fundamentals of the sport. Therefore, they tune out when the analogies from the sport are used, laugh at inappropriate times or do not actively participate in the conversations. All of these actions are not conducive to building rapport with colleagues and getting positive attention from your superiors.

Football is played between two teams with the object being to score the most points. Each team has three units: offense (move the ball to score), defense (stop the other team from scoring) and special teams (handle all kicking situations). Each team can only have 11 players on the field at one time. Since businesses focus on increasing revenue (scoring), we are going to review the offense.

Offense The goal of the offense is to move the ball down the field to the defense’s end zone to score points.

“Come on , it’s 4th and inches!”

“We have to dominate the line of scrimmage!”

This team is referred to as having “possession,” meaning that it possesses control of the football.

The offense makes progress toward their goal by accumulating yards.

This attempt to get more yards and move down the field is known as a “Drive.”

catches the ball in the end zone, recovers a fumble in the end zone or the kicking team recovers a kickoff in the end zone.

Extra Point (1 point) – Kicking the ball from the opponent’s 2 yard line through the goal post after scoring a touchdown.

The offense has four downs (opportunities) to gain 10 yards.

If they are successful, they receive another set of four downs. This is signaled by a “First Down.” This continues until the offense scores or does not earn a first down and loses control of the ball giving the other team possession of the ball, at that point, and the opportunity to start their drive in the opposite direction.

Two-point Conversion (2 points)– After scoring a touchdown, begin at the opponent’s 2 yard line and carry the ball into the end zone or catch the ball in the end zone.

Field Goal (3 points) – Kicking the ball from anywhere on the field through the goal post.

Players on offense.

1. Quarterback – Team leader on the field. Sometimes decides and always executes the plays. Runs, hands off or throws the ball.

2. Center – Gives the ball (snap) to the quarterback and then blocks the defense.

3. Guards and Tackles – Hold the defense away from the quarterback and running backs.

4. Wide Receivers – Catch the ball from the quarterback.

Understanding the offense provides clarity to these analogies.

“We’re at first and 10.” - You have four attempts to gain 10 more yards and earn a new set of downs.

You are at the beginning of a new assignment and can pace yourself to complete the next task. (Think of first downs as tasks, scoring as short-term goals and a victory as long-term goals.)

“Its third and long.” - This is usually used when the offense has more than 8 yards to gain for a first down. The results of this attempt will decide the strategy for the

fourth down. This means that you are in a difficult situation, but you could pull it off. To be successful, your strategy must be one that gains a lot of yards fast because you do not have a lot of time or opportunities to reach the goal. So, your plan must sell more products immediately, not over the next five years.

“Its fourth and inches (or goal).” – This is your final attempt to get a first down or score. You are close, but if you fail, the competition gets the ball. (The pressure is on!)

Many times, teams elect to punt the ball in this situation because they want the other team to start their drive as far from their end zone as possible. So, if the coach elects not to punt, it demonstrates that he believes that his team can accomplish the goal during an intense situation. Don’t let him down!

Do not miss out on networking opportunities that come from sports. Get in the game and win!

To expand your knowledge on football and other sports, follow Heels & Helmets online at www. heelsandhelmets.com and twitter @ HeelsandHelmets.

5. Running Backs – Receive hand offs from the quarterback.

6. Tight Ends – Block the defense and catch passes.

Scoring Points in football are scored by the offense in, primarily, the four following methods: Touchdown (6 points) - Player carries the ball into the end zone,

Ladies, get in the game and win!

™

heelsandhelmets.com

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y Adam Kline B

Adam started his restaurant career at age 15 in establishments in Southern New Jersey. After moving to North Carolina in 1988, he gained the knowledge and experience to become a manager at some of Greensboro’s finest

Summertime Wines For The Grill

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No matter how hot it may get, the flavor combinations with wine go perfectly with the complex food seasonings which can only be created on a grill.

I’ve been grilling out more this year than ever. It takes a long, dragged out winter to make me want to enjoy the warm months even more.

While grilling out, I still enjoy drinking wine. No matter how hot it may get, the flavor combinations with wine go perfectly with the complex food seasonings that can only be created on a grill. Scientists figure that we can experience about 150 different flavor sensations.

More than any other single food or beverage, wine made from grapes can trigger almost all of them.

What that can turn an enjoyable

experience into a memorable one.

complexity in its simpleness just seems to go perfect while on the patio.

The first thing that comes to mind when talking about wines to drink in the summer is Sauvignon Blanc.

This crisp, dry wine is perfect for summer drinking. Be sure to chill it well to get the optimum flavors out of it. Also, when looking for a Sauvignon Blanc store, I found the best results from ones made from New Zealand, as this white wine offers something just a little more special.

Now, if you are just not into dry white wines, my second favorite wine variety for a picnic or BBQ would be a Rosé makes you think of summers past. My personal favorite with grilling out would be a Rosé made from a Malbec grape. The

In general, light-bodies wines come from white wine grapes and pair well with lighter foods such as seafood, chicken, and grilled veggies. Full-bodied, red wines amplify the flavors in most meats such as lamb, steaks and burgers.

However, certain types of grilled fish, such as a swordfish steak, will pair well with a medium-bodied Merlot or Pinot Noir.

Food and wine with shared characteristics typically go well together. For example, a peppery Zinfandel tastes great along with a grilled salt-and-pepper NY strip.

I would be unwise to match more

mild food, like a piece of cod, with a full-bodies red wine because it will simply overpower the subtle flavors of the fish. Find a winning combination by trying to match the texture and intensity of the food with an equally complex or simple wine. Think Riesling when your foods incorporate aromatic spices (such as Indian spices), or have a sweet and spicy marinade or sauce. It will also pair well with grilled sausages such as brats, along with grilled pineapple and veggies.

Always remember the number one rule about drinking wine: DRINK what you like. Just because a wine is suppose to go well with certain foods, dors not mean your personal preferences will agree. Enjoy summertime. Finally

Here are a few wine-grill combinations that food editors have found particular alluring Shrimp Skewers Shrimp marinated in olive oil, lime juice, onion, garlic and rosemary, skewered and briefly grilled.

Wine – Pinot Grigio: light and crisp and fruity, with mild flavors of citrus and peaches.

Chicken Legs Marinated in oil and hot pepper sauce.

Wine – Shiraz: soft and rich, with red berry flavors and the sweetness to go with the spice.

Barbecued Ribs Grilled slowly and indirectly for hours, slathered with spicy, tomato-and-molasses-based sauce in the final minutes so it doesn’t burn.

Wine – Syrah: Zingy, rich and spicy, with black plum flavors and the sweetness to match the ribs.

Pork Chops Butterfly them so they’ll cook through, marinate in oil and sage, and grill.

Wine – Riesling: soft and lightly sweet, with golden apple and peach flavors and a little hint of citrus.

New York Strip Steak Marinate in garlic, olive oil and rosemary, crust it on the outside, red in the middle. For an extra special treat place the meat directly on white-hot charcoal.

Wine – Cabernet Sauvignon: Big oak, big black cherry fruit, big tannins; a real steak wine.

Salmon Marinate in soy sauce and a hint of oil, brush with maple syrup just before the grill.

Wine – Grenache, Syrah, Zinfandel: hugely, rich and fruity, with moderate tannin.

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The Chesterfield

Women’s Journal

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This is what our advertisers say about the Women’s Journals: This is your “Bangs or No Bangs’ hairdresser Rhett Costello. It seems my last month’s article was a success, and I am glad because I spent a considerable amount of time on it. This month, I have less time and I’ll tell you why, “Chesterfield Women’s Journal enthusiasts; after only two or three days of distribution of the magazine, I began getting lots of new customers!

I have a long standing custom of asking new guests how they heard about me. In the past their replies would invariably be something to do with a friend referring them. That worked for thirty years, but if you have experienced anything similar to what has happened to my business over the last five years, you know it’s been slow, slow, slow. All that is changing and quickly.

When I ask that same question now, the most common answer is I read your article in the “Chesterfield Women’s Journal.” Now I’m not talking a few new gals, I have been busy, busy, busy! Yes, my publisher asked me to write this testimonial and I gladly said “Yes,” because nothing has ever boosted my Chesterfield salon like the Woman’s Journal! I highly recommend it!

- Rhett Costello, Rhett’s - The Original Pin-up Salon

“I have worked with the Women’s Journal in two separate areas of my career. Each time, I continue to be impressed by the professionalism and compassion of the staff. The articles and advertisements are always perfect. If I have a problem, Pam is always there to help. What more could a Marketing Director ask for. Thank you!”

- Kristy Handley, Marketing Director, State Street Assisted Living

“Without question, an outstanding way to educate patients.”

- Vincent Perrottta, M.D., Peninsula Plastic Surgery

“The Women’s Journal is the most successful advertising we have ever done.” - Focal Point Opticians “A priceless educational vehicle to allow patients quality, objective information about our various procedures.”

- Andreus V. Strauss, M.D., Director of Oncology Beebe Medical Center

“The Women’s Journal is the best advertising I have ever done, I can’t believe I waited so long to try them. They are the only advertising I am doing now.” - Carmella, Permanent Cosmetics

Did you know?

Women’s Buying Power • • • • • • • • • •

94% Home Furnishings 93% OTC Pharmaceuticals 93% Food 92% Vacations 91% of New Homes 89% Bank Accounts 85% Auto Purchases 81% Riding Lawn Mowers 80% Healthcare 66% PCs

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Women account for 85% of all consumer purchases.

• Women carry 76 million credit cards, 8 million more than men.

• In 2001, U.S. women’s purchasing power constituted the number 3 market in the world; the collective buying power exceeded the entire economy of Japan.

• By 2010, women are expected to control $1 trillion, or 60% of the country’s wealth, according to research conducted by Business Week and Gallup.

(Sources: The Business and Professional Women’s Foundation, Trendsight, Business Women’s)

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9728 B MIDLOTHIAN TPK MIDLOTHIAN, VA 23235

(804) 320-1882

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