Grand Living
Vol. 3 Issue 4 - July/August 2011
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Delmarva’s Premier 50+ Magazine
Complimentary
Hidden Dangers of the Sun
Summer Seafood Exercise IS the Fountain Of Youth Alternate Site Testing for Diabetics Breast Cancer Research on the Eastern Shore The Who, What, When, & How of Your Estate
How do I know if I am at risk for Skin Cancer?
According to the American Academy of Dermatology, 1 in 3 cancers diagnosed this year will be skin cancer. Risk is greatest in the summer due to UV rays, Skin Cancer’s primary cause. If you have a SPOT that’s growing, irritated, black or bleeding, you need to see a doctor. Our doctors can see you in as little as 2 weeks. DON’T WAIT, call now!
Peninsula Surgical Group Board Certified General Surgeons
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H. Gray Reeves Prof. Bldg, 145 E. Carroll St., Salisbury, MD
Inside Ocean City Official Concierge of the Ocean City Hotel Motel Restaurant Association
Ocean City’s first hotel book created & produced by local professionals!
An Exceptional Marketing Opportunity Reaching Millions! Call Today & Support OCHMRA
410-726-7334 A GLM Publication
6 Hidden Dangers of the Sun
8 The Challenges of Texting
Grand Living Magazine
10 Crab Pickin’ 101
12 Tempting Tropicals
Publisher Sandy Phillips
14 Determining the Who, What, When, Where, and How of Your Estate
Associate Publisher Farin Phillips Editor Lou Ann Hill
17 Conversations with Betty 18 Exercise is the Fountain Of Youth
GLM
20 Breast Cancer Research on the Eastern Shore
Unleashed
22 What Kind of Sandwich Are You? 24 Alternate Site Testing for Diabetics 26 If You Have Cancer, You Are Not Alone
28 Summer Seafood 30 Heart’s Desire
Creative Sandy Phillips Farin Phillips
Photography Kyle Hughes, Nextwave Studios Contributing Writers Valery Cordrey Polly Elliott Therese. H. Ganster, LCSW, MPM Marie Nottingham James W. Respess, Esq. John Motsko, CDE Autumn Romanowski Bennett Yu, MD Sandra Heineken, RN, BSN, OCN Kathleen Burt, RN, BSN, MS For Advertising Call: Grand Living Main Office 410-726-7334 grandlivingmag@verizon.net Field Management Brandon Phillips
Cover:
Frank Hodges enjoys the summer sun, in his backyard pool.
Grand Living Magazine is published six times a year; Jan., Mar., May, July, Sept., and Nov. It is circulated throughout Worcester, Wicomico & Sussex counties, by Grand Living Magazine LLC. Grand Living Magazine is protected under trademark registration. “Grand Citizens”™ is also protected under trademark. No portion in whole or part maybe reproduced without written permission of the publisher. Copyright 2010 ©, Grand Living Magazine LLC. All rights reserved. Content in Grand Living Magazine is intended to provide information only and is in no way meant to treat or diagnose. Always consult with a speciality professional (i.e. medical, financial, etc.) to address your own personal needs. The company makes every effort to ensure that all information presented is correct. However, we do not make any representations or warranties as to the accuracy of the information, and reliance on information provided is solely at your own risk.
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Grand Calendar
Mid July 2011 - August 2011
White Marlin Open Aug. 8-12 July. 15-17 OC Tuna Tournament Ocean City Fishing Center 4 p.m.- 7 p.m. For more information call 800-322-3065
Aug. 5 Fibromyalgia Support Group 1:00 p.m. FREE
1st Friday of every month
Lewes Senior Center, Nassau 302-644-8181
August. 8-12 White Marlin Open Harbour Island; 14th Street 4 p.m.- 9 p.m. For more information call 410-289-9229
July. 20 Concerts on the Beach
July. 29-31 Greek Festival
July. 31 Bark for Life
Every Wednesday July 13August 24 (except July 27) North Division Street 410-250-0125
Ocean City Convention Center Friday & Saturday 12p.m.-11p.m. Sunday 12p.m. -9p.m. For more information call 410-524-0900
Dog Walk & Doggie Carnival to benefit the American Cancer Society Tails n Tubs, Salisbury 9 a.m. - 2 p.m. 443-736-7441
FREE
August 5-7 Annual Berlin Sidewalk Sale
August. 6 Blessing of the Combines
Throughout Berlin Friday & Saturday 10 a.m.-5 p.m. Sunday 11 a.m. -5p.m. For more information call 410-641-2998
Downtown Snow Hill 11a.m. -4 p.m. For more information call 410-632-3838
Every Tuesday & Thursday Yoga 55+ FREE
Morning Session: 9 a.m. Afternoon Session: 2 p,m, Brandywine Assisted Living Fenwick Island 302-436-0808
Aug. 9 Alzheimer’s Support Group FREE
2nd Tuesday of every month at 1:30-2:30 p.m. 302-436-0808 RSVP the Friday before the meeting you wish to attend.
Aug. 11 Parkinson Support Group
Aug. 10 Community Breakfast Bingo
FREE
FREE
Brandywine Assisted Living Fenwick Island 302-436-0808
2nd Thursday of every month at 1:30 p.m. The Woodlands Ocean Pines 410-208-9001
August. 12-14 Worcester County Fair Byrd Park, Snow Hill Friday & Saturday 11 a.m.-8 p.m. Sunday 11 a.m. -4 p.m. For more information call 410-957-4076
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Not All Fun and Games:
Hidden Dangers of the Sun Reviewed by John Bartkovich, M.D., F.A.C.S.
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he sun has become a foe at almost any time of year, but is particularly unfriendly when it’s rays are closest to the earth during summer. If you’re not using sunscreen as part of your daily routine, it’s time to get with the program. We know a great deal more about the sun these days. Moderate sun exposure supplies us with Vitamin D, gives us that healthy glow, and bright sunny days nourish our spirit. But, the UV rays can take their toll on our bodies, and when signs of damage are ignored, the outcome could be deadly. More than two million Americans are diagnosed with skin cancer each year, making skin cancer the most common form of cancer. According to the American Cancer Society, about 60,000 of these cases are melanoma, the most serious of the many types of skin cancer. When detected early, melanomas can often be treated successfully. It’s important to learn and recognize the warning signs and seek medical advice without delay. Unlike squamous cell carcinomas of the skin, which commonly do not spread to other parts of the body, melanoma can spread if not diagnosed and treated in the early stages. What is Melanoma? Melanocytes are cells in the skin that produce a pigment called melanin. The melanin helps protect the deeper layers of skin from the harmful effects of the sun. When these Melanocytes are exposed to sun, their number increases and your skin darkens. Because Melanoma cells still produce melanin, skin cancers can often have mixed shades of tan, brown, black, or even blue. Melanoma can occur from a bad burn or from cumulative exposure to UV rays over time. According to the American Cancer Society, children and young adults often receive a great deal of intense sun exposure, which may not result in cancer for years or decades. Melanoma forms when the genetic material in the cells, which control cell growth, becomes damaged or fails. It can occur quickly or over time.
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The Grand Life
Warning Signs The most important sign of Melanoma is a new or changing skin growth. This includes a change in size, shape or color of a spot on your skin. This change can occur over a month or more. Most of us have some spots and /or moles on our skin. Most moles are harmless, but a change in the appearance of a mole should be evaluated by a medical professional. The American Cancer Society offers the A.B.C.D.’s of evaluation to assist you in monitoring yourself for skin concerns. •Asymmetry: One half of the spot/mole does not match the other half. •Border Irregularity: Normal moles are round or oval. The borders of a melanoma may be uneven or notched. •Color: Common moles are usually one color throughout. Melanomas may have several colors or an irregular pattern of colors. •Diameter: Common moles are generally less than ¼ inch in diameter (the diameter of a pencil eraser). Melanomas may be 1/8 to 1/4 inch, but are often larger. Although these are useful warning signs, many melanomas and other skin cancers do not have the ABCD signs. Pay particular attention to these additional warning signs: •A sore that does not heal. •Change in sensation; itching, tenderness or pain. •Change in the surface of a mole-like oozing, bleeding, or the appearance of a bump or nodule. •A mole that stands out or looks different from your other moles. A self exam, along with an annual examination by a physician, is one of the best ways to ensure that you don’t become a statistic in the battle against skin cancer. Performed regularly, self-examination can alert you to changes in your skin and aid in the early detection of skin cancer. Perform a self-exam regularly, perhaps at the beginning of each month. Use a fulllength mirror, as well as a hand mirror, so you can check from the top of your head, (if you are balding), to your toes and the bottom of your feet. You may find it helpful to do a full body exam first, to assure that any existing spots, freckles or moles are normal. Get familiar with your body and its pigmentations and spots. Seek professional advice for any areas of concern. A regular self-examination should take no more than 10 minutes – a small investment that may save your life. GLM
Asymmetry
Border Irregularity
Diameter: 1/4 inch or 6mm
Color
Sunscreen Selection Tips Sunscreens are chemicals that offer some degree of protection from the sun’s Ultra Violet (UV) rays. Although there are no sunscreens that offer complete protection, many products, used properly, offer adequate protection. When selecting a sunscreen, look for one with the words “broad-spectrum.” These products help prevent both UV-A and UV-B rays from penetrating the skin. “Water resistant” are other words to include in your criteria list. Water resistant products seem to last longer and need to be applied with a bit less frequency. They are great for swimming and on those very hot days when you find yourself sweating more. Sunscreens are available in many forms; creams, moisturizers, gels, sprays and sticks. Your selection here seems to simply be preference. Sun Protection Factor (SPF) is the sunscreen “buzzword” and plays a role in determining how long you can play in the sun before you need to reapply your sunblock. According to webmd.com, your unprotected skin typically burns after 10 minutes in the sun. If you use a sunblock with an SPF of 15, it will extend the amount of time before your skin begins to burn to 150 minutes. It is, however, recommended that you reapply your sunblock during this period for the best defense. The Skin Cancer Foundation recommends using a sunscreen with an SPF of 15 or higher as one important part of a complete sun protection regimen. According to the Skin Cancer Foundation, this also includes seeking shade, covering up with clothing, including a wide-brimmed hat, and UV-blocking sunglasses. They also recommend avoiding tanning and UV tanning booths. If you have light skin or burn very easily, you should consider a higher SPF of 30 or more. If you are acne prone, look for a product that is non-comedigenic. For some, the chemicals in sunscreen are not well tolerated. If you fall into that group, try using a product that contains only physical blockers such as Zinc Oxide or Titanium Dioxide. Physical blockers do not penetrate the skin as chemical blockers do, but sit on the top of the skin and protect. Whichever your selection, be sure to follow the directions and reapply frequently, at least every two hours, and particularly after swimming. It is also suggested that you apply sunblock 20 minutes before going outside to allow for maximum skin absorption.
John A. Bartkovich, M.D., F.A.C.S. is in practice with The Peninsula Surgical Group, P.A., Salisbury, MD
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Grand Living Magazine 7
They text at lightening speeds, and their spelling accuracy is astounding. Move over “Girl Friday,” because typing 75 words a minute is old school. So, let’s talk about the “how to’s” of texting. It’s simple enough, if you have a QWERTY keyboard; it’s exactly the same as the one I’m typing this story on. Well, almost exactly like, just about one-tenth the size, and that’s where the challenge comes in. Have you ever watched a grown man text? Guys are finally learning to move their fingers with finesse. Even a 40 something man has to make his man-sized fingers touch only one letter at a time on that tiny keyboard. They are lucky if they can type five words a minute. It has to be easier to just make the call! But, it’s about communicating with the kids on their terms. Now there’s the new feature on our phones, spell check. Where would our lives be without spell check? I really can’t spell half as good as my editor thinks I can, I rely totally on spell check; I know most of you can relate. But spell check on a phone is tricky. Then again, maybe it’s that I think I can text without my glasses and still send the message I intended to. My texting gets even worse when I’m in a hurry to move onto something else. Recently, when responding to a co-worker, I texted “hold on for a sec”, or so I though and the ever clever spell check changed the last word, just as I pressed send. Suddenly I’m “sexting” a co-worker! Oh my, how did that happen? I’m very thankful the Grand Living family is close and will take my texting faux pas’ in stride. Now, I also find myself responding to emails via phone, and I face the same challenges with the tiny keyboard. If you too, use your phone for emails more and more, have you noticed that even our email responses are now incorporating abbreviations? We have shortened the word “your’ to “ur” and the word “you” has simply become the letter “u.” Where will our language be in 10 years? Texting is changing the world. Boomers are embracing technology. We now find ourselves viewing Facebook pages just to see what’s happening in the lives of our children and grandchildren. Checking email has become as normal as a trip to the mailbox. But texting is tricky, particularly without your glasses. Maybe in the near future, the iPhone will come with a hidden magnifier that pops up, for more accurate spellings, and we can keep that mischievous spell check, with a mind of its own, in check! GLM
The Challenges of Texting
by Sandy Phillips
A
hh… to be 40 something in this age of technology. We have all adjusted to our electronic world as it has evolved. I was fortunate enough to grow up while computers were making their way to the forefront. I took some of the first computer classes in college, on those “main frame” systems with the card readers and key punch machines. I’m sure they are now growing new sea life off the coast as a man made reef. Much like we have all learned to use a computer at work, for typing letters and those complicated spreadsheets. You know the ones that require a math degree to “tally” columns, now it’s texting. Our offspring have grown up with it and will most likely give rise to some sort of finger disorder years from now. 8
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Take 7 Minutes to
Lighten Your Load
(Part III in a series.) by Lou Ann Hill
ng
Spri g n i m o C 2012
If you have seven minutes, pick a task below. These quick chores will give you a feeling of accomplishment, while making the most of a little “extra” time. Ready…set…go! 1) Pick up seven, out-of-place items around your home, and put them away. 2) Read the front page of today’s newspaper (if you don’t have time to read more.) 3) Make a to-do list or grocery list. 4) Create an emergency kit filled with a flashlight, batteries, bottled water, and canned food. 5) Pull out a mat or beach towel and do some stretches. 6) Arrange your clothes hangers so they all face in the same direction. 7) Walk around your home, with a small can of white paint, and do touch ups. 8) Put together all of your cooking pot tops and bottoms, then nest the tops and bottoms together. 9) Scan your bathtubs and shower stalls. Toss old shampoos, conditioners, etc. Make sure the shower curtain liner, in the guest bath, is clean and free of mildew. 10) Gather together un-expired coupons and gift cards. Put them in your car glove compartment so you have them when you need them.
GRAND TIP:
Look through a box of photos, and swap out a frame with one or two that make you smile! Lou Ann Hill is the President of Lighten Your Load Solutions, LLC. Offices are located in Annapolis and Tilghman Island, MD.
Delmarva’s
Preferred Docs GLM
A place for readers, to share with fellow readers, their choice in physicians, pharmacist, medical support staff and medical reception. Vote at your physicians office, boutique pharmacy online at GrandLivingMag.com, via email or mail. We will announce the winners in our March/April 2012 edition. Contest begins November 1, more details to come.
GLM would like to begin the contest by nominating
Becky Horsey, Administrative Assistant, at 21st Oncology in Salisbury, in the category of medical reception. Our staff is in a great number of medical offices on the shore, on a regular basis, and we observe a lot. Becky sets the standard in reception. Cudos to her for a job very well done! There are lots of other great medical staff members out there, let us know where you have found them.
To get started, pull the pincher claws off the body and save them for later. They come off best with a twisting motion. Sometimes the backfin meat will come out when you twist, so bite that off first… yum! Twist off the remaining legs, sometimes they too will offer a bit of the meat from the body, particularly if your crabs are hot. You can enjoy that part too, but the smaller legs themselves only have a trace of meat in them, so it’s not worth the time to pick. Throw away the legs and move on. To remove the apron, turn the crab over on its back. Now you’re looking at the underside of the crab. Quick note, everyone asks how to tell a male from a female crab. Here’s the scoop. The male crab has an apron that looks very much like the Washington Monument, and the female’s apron looks more like the Great Pyramid of Giza. Whichever view you’re looking at, you need to remove this part to open the crab. Insert the tip of your crab knife into the top of the apron and pull it up and back. This detaches the top shell from the base of the crab. Next, turn the crab over, so it’s now right side up. You’ll see the gills and “mustard.” Using your crab knife, clean these “guts” away. Take the remaining crab in your hands. Snap it in two, and all that luscious crab meat will be revealed. You will now want to cut the two sections of the crab length-wise. This opens up the cavities for retrieving the most meat possible. The meat is contained in small cavities, be careful not to eat the dividing shell. Don’t forget the claws that you first set aside. Some crab eaters believe, the meat in these are the most delicious. There are two main sections in the claw, (ignore the elbow). To open the sections, place the blade of your knife in the middle of one section and tap it with your crab mallet. You can also use the crab cracker placed in the same place. Just be gentle or you will crush your claw and have to pick the shell from the meat before you can eat it. Now gently snap. At this juncture, there is an art to get the clean break which exposes the claw meat in the presentation you find on an hors d'oeuvres tray. However, in reality, no one is looking over your shoulder, just get to the meat. All the meat here is good to eat, but beware. There is a shell in the center of the section with the actual pincher. You can often pull the shell out by breaking the pinchers apart and gently pulling; only the meat will be left in the shell. The art of picking crabs may take some time to master, but it’s worth the time, every time! So Enjoy! GLM
Crab Pickin’ 101 by Polly Elliott
T
he smell of Old Bay and the sound of crab claws cracking, is music to our ears, each summer. No beach vacation would be complete without enjoying a feast of our famous Maryland Blue Crabs. Although you can find crab on almost every menu in town, the experience of picking them yourself is rite of passage into true Eastern Shore culture. Your table will most likely be covered with butcher paper and your table centerpiece is typically an empty bucket and paper towels. We’re not talking fancy here; we’re talking serious crab eating! Your view may be amazing, but you’re here to eat crabs, and it’s going to get messy! Bring on the bib, grab your mallet, and let’s get cracking! 10
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Dr. Alex Azar Receives Award from John Hopkins Each department at Johns Hopkins develops its own training programs for students and residents. Years ago, the leaders of Wilmer recognized the importance of involving part-time volunteer private practitioners. This allows the students to see patients in private doctors’ offices and learn about running a private practice. Also to see patients with a variety of problems and how to interact with patients and staff. “In the seven years I have known Alex, he has been our most dedicated part-time faculty member,” said Dr. Albert Jun. “He is always able to connect well with the students and is a very devoted teacher.” Dr. Albert Jun presented the award to Dr. Azar at the Wilmer Residents Association meeting at Johns Hopkins on Friday, June 3, 2011. GLM
D
Dr. Alex Azar has practiced ophthalmology in Salisbury since 1976. The same year he introduced microscopic eye surgery to Peninsula Regional Medical Center, performed the first intraocular lens implant and the first trabeculectomy for glaucoma patients in the Salisbury area. Dr. Azar was also instrumental in shortening the hospital stay for cataract surgery patients from the state average of six days to one and a half days. He also accomplished the first phacoemulsification with insertion of a foldable lens implant in the 1980’s. He has been instrumental in recruiting many of the current eye care professional to the shore. In addition to his work in ophthalmology, Dr. Azar has published more than thirty scientific papers based on research he carried out as a doctor at the Haskell Laboratory of the E.I. DuPont Company. He was the first health care professional appointed to the Maryland Health Care Access and Cost Commission by former Governor William Donald Schaefer. Dr.Azar has served as a past president of the Maryland State Medical Society and has been on the Board of Directors of The Center for a Healthy Maryland, the Board of the local YMCA, the Board of the Wicomico Humane Society and more recently the Board of Horizons at The Salisbury School. He is also very active in the Greater Salisbury Committee and is a 32nd degree Mason.
r. Alex Azar has been awarded the Allan D. Jensen Part-Time Faculty Teaching award for the 2010/2011 academic year. Dr. Azar was nominated for the award by medical students attending the Johns Hopkins University in Baltimore, Maryland. This is the second consecutive year Dr. Azar has received the award. “The time I spend at Johns Hopkins is just as rewarding and valuable to me as it is to the students,” said Dr. Alex Azar. “We learn from each other. Being a private practitioner, my goal has always been to provide a way for the students to learn from “real world” experiences and help them understand the involvement and relationships they will form with their peers and their patients.” Dr. Azar has been teaching medical students at Johns Hopkins for 16 years. During 2010 he delivered 4 lectures to second year students on diabetic eye changes, macular degeneration, sarcoidosis and laser vision correction of the eye. Dr. Azar also taught general medical students how to perform eye examinations on live patients and instructed those interested in Discover the Eastern Shore Pharmacy pursuing a career in ophthalmology, how difference! to use the slit lamp and other specialized Fast, Friendly Service lenses used to examine the eye. Senior Discounts! “I believe no one is more deserving of this award than Alex,” said Allan Jensen, M.D. “He brings knowledge and experiAcross from PRMC, on the corner of ence to the classroom and the students Eastern Shore Dr. & Carroll St. identify with him. I admire him.”
Refilling your prescription
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11
Home & Hearth
Tempting
T
Tropicals
he unusually warm weather reminds me of my favorite category of plants – Tropicals. I enjoy planting my back deck and yard with tropicals. This allows me the fantasy of coming home to a tropical paradise. If you don’t want to go to the extreme of planting multiple pots, just plant a pot or two and you can still enjoy their summer beauty, they are easy to grow and enjoy. Some of the most popular tropical are hibiscus, bananas, mandevillas, palms and crotons. Tropicals certainly can withstand the hazy, hot and humid Delmarva summers. Tropical hibiscus will flower all summer long. They like full sun, for at least five hours each day. Water them regularly and fertilize about every two weeks. You can use an all-purpose fertilizer or a bloom booster. The bloom booster will encourage them to produce more blooms. Hibiscus plants come in many different colors; they also come in single blooms and double blooms. Another variety is the exotic type. These flowers are amazingly beautiful but, they don’t flower as profusely as the other varieties. There is also a hardy hibiscus, which will live on Delmarva from year to year. These hibiscus bloom from mid-
by Valery Cordrey
summer through the fall and then they die back. Cut the dead stems in March, to about four inches from the ground, and the new growth will come back from the roots in the spring. They are one of the last perennials to show growth, so don’t worry; give them time to send up their new growth from the roots. Bananas come in many sizes and colors. There are ornamental bananas and there are bananas that produce fruit. The fruit growth is amazing to watch and quite a striking sight to behold. My current two favorite bananas are the Ensete maurelii and the basjoo. The Ensete maurelli – red banana is a striking specimen plant. The leaves can reach gigantic proportions of up to 10 feet long, and require full sun but will tolerate light shade. The foliage is burgundy red, especially as the new growth emerges. The higher the light levels provided for the plant, the stronger the colors. This plant works great in a container or in the ground. The basjoo banana is winter hardy and adds a tropical look to the landscape. The foliage is predominantly green. The basjoo has a better chance of survival if planted directly in the ground. If it’s in a pot, make sure you move
the pot to an area where it is protected from the cold winds. The basjoo will get frosted in the cold weather. After getting frosted, cut it back to the ground and mulch heavily. The basjoo will return again in the spring. Mandevillas are one of the best-selling tropicals. As a result, many new varieties are becoming available. The most well-known mandevilla is the Alice DuPont. This plant vines and produces beautiful and plentiful pink trumpet-shaped blossoms. It looks great on a trellis, in a pot with an obelisk, or in a hanging basket. Other varieties have blooms that are yellow, white, red, and red/white striped (Stars and Stripes.) The new varieties are available in vining and shrub forms. Mandevillas require full sun, which is at least five hours a day. They flourish with regular waterings when the soil is dry, and they can be fertilized about every two weeks. Palms are increasing in popularity. Two palms, the sabal minor (dwarf palmetto) and the windmill palm, are considered winterhardy palms. These palms need to be protected for the first few years during the winter. They need to be burlapped, mulched and put in a protected area. I have seen many of these palms flourishing in Lewes and Rehoboth, however, I have spoken to several people who have lost these palms. The remainder of the palms need to be considered an annual or they should be taken inside for the winter. Another important fact to consider is how the palm is grown. Some palms are grown in the sun and some are grown in the shade. If you put a palm that was grown in the shade immediately into the sun, it will cause the palm to burn. These palms need to be gradually introduced to the sun. Additionally, there are some palms that require shade. These make great houseplants, covered porch plants or even shaded area plants. Some of my favorite sun palms are the adonida, triangle, bottle, fan (both green and silver), date, queen, spindle, windmill, bismarck and foxtail. Great shade palms are the majesty, bamboo and kentia. Crotons are another great tropical plant. Most people are familiar with the petra croton, but there are many more varieties. They come in an assortment of colors and leaf shapes. Crotons can mix well with annuals. I enjoy using the red and yellow annuals to pull out the colors in the petra leaves. Crotons also make great fall plants; the reds and oranges mix well with pumpkins, mums and hay bales. There are many more wonderful tropicals for interior and exterior designing. Check the internet, library, or visit a local nursery, or even take a trip to one of the many beautiful public or private gardens to see the full magnitude of their beauty. GLM Valery Cordrey is a professional gardener with the East Coast Garden Center, Millsboro.
Determining the Who, What, When, Where, & How of Your Estate by James W. Respess, Esq.
I
’m asked frequently; what is estate planning? Depending on where you are in life, will depend on what thoughts you have when you see or hear the term Estate Plan. It is really your life; your future, your past and your dreams? Let’s look at estate planning from different age perspectives.
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APPLE DISCOUNT DRUGS
30 to 50 age group Between age 30 and 50 you think, at least occasionally, about retirement and begin to accumulate an estate. By this point in your life you may have started a 401(k) or other retirement savings plans. If you have children, you think about their protection, should something unforeseen happen to you. Statistics show that you think life insurance, for both husband and wife, because the loss of either will cause a loss of support for the kids and added expense for the home. Maybe you are still paying your college loans but want to start saving for your own child’s college education. On top of everything, with your own family, you also need to consider, and ask your parents questions about what their plans include for their future. Have they prepared for possible long-term care? It is never too early to invest in a plan for long-term care. Ask yourself this – Will you be one of the 20 million people in the U.S. classified as the “Sandwich Generation” as you care for your parents and children at the same time? If you answered yes, consider buying a long-term care plan for your parents splitting the cost and sharing it over the years with your siblings. This way, when the time comes and care is needed, there is no worry about the cost. 50 to 70 age group There is an overlap in this group; you are still accumulating your estate, and maybe rearranging your investments to reduce your risks. This is also a time in your life that you will want to focus on protecting your retirement. Many times people spend their retirement money for the sake of their children’s education. The fact remains that many places will loan you money for education, but no one will loan you money for your retirement.
At this point in your life you will want to review all of the financial plans that you have in place and make necessary changes to benefit the goals you have set for your future. Quick Tip - Roll what you already have invested in a 401K or an IRA into a fixed index annuity. This will eliminate some of the risk of losing part of your investment by shifting the risk from yourself to the insurance company. And for a modest cost, the insurance company will guarantee that your investment will stretch out over your lifetime. 70+ age group Now is the time when you start to reap the rewards of past planning. Your plans are reviewed and funds are moved according to how much control you choose to have over your assets. This is also a time in your life when you will identify some of the financial guarantees that past planning has put into place. You want to make sure your resources last as long as you do. It is necessary for you and your spouse to review all insurance and investments and make necessary adjustments. This may be the time to distribute assets that you no longer use or need, to your loved ones. It is always a bonus when you are still around to enjoy the giving process with your loved ones and family members. Now is the perfect time to set up a charitable trust to reduce or eliminate any federal and state estate taxes. The gift tax exclusion of $5 million will expire on December 31, 2012. Take advantage of it before it goes away. You can place assets in a trust for those who are too young to handle them. You can also use the gift tax exclusion for those who are not yet born. The possibilities are virtually unlimited. Quick Tip – Invest funds in an irrevocable trust for your children. (This is where you put your money to take it out of your estate.) With an irrevocable life insurance trust, you can use the annual gift exclusion of $13,000 per person, and take the money to pay a premium on a life insurance policy for your parents. GLM
Financial Strength
What’s In Your File Cabinet?
Regardless of which age group you identify with, you will need the following documents: •A Living Trust This gives you control of your property when you don’t have control of yourself. It also avoids probate, a long and costly procedure that your loved ones don’t need when they are going through the grieving process. The trust also provides the mechanism for distributing your estate. It may even control assets for some people, for several years, and for others, for life, such as special needs beneficiaries. •A Pour Over Will Since everything will not be in the trust, this document will transfer the rest of your assets into the trust to be administered by the same terms as all other property. •An Advanced Medical Directive You will appoint an agent to make medical decisions when you can’t. The directive also spells out some directions for your agent and the medical profession to follow under certain health-related circumstances. •Durable Power of Attorney It may also be desirable to appoint someone to make decisions for you in the event of a mental disability. Although the trust will take care of most of these decisions, it is helpful to have someone designated as your power of attorney. The trust will survive you, but a power will not. It exists only as long as you do. A durable power will however survive your mental capacity. James W. Respess, Esq. is a practicing attorney in Salisbury, MD. Respess was an Officer with the Internal Revenue Service and is a member of the bar of The Supreme Court of The United States, and several other Federal Courts, including the Tax Court of the U.S.
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Choose Vacation! Go ahead...take that well-deserved vacation with the peace of mind that your loved one will be enjoying a vacation of their own in a safe, secure environment with licensed nurses on-site 24/7. We provide a luxurious suite, arts & entertainment, fine dining and housekeeping for your loved one while you’re away. With new friends and so much to do... they may not want to leave! There are so many good choices available — but only one great one...
Choose Brandywine! Call the location nearest you to schedule a tour & complimentary lunch...plus learn the many benefits our short-term respite stays have to offer.
BRANDYWINE ASSISTED LIVING AT F ENWICK I SLAND
21111 Arrington Drive | Selbyville, DE 19975
302.436.0808 Brandywine Senior Living has Locations throughout NJ, PA, DE, CT, NY www.Brandycare.com 1-877-4BRANDY 16
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BRANDYWINE ASSISTED LIVING AT S EASIDE P OINTE
36101 Seaside Blvd. | Rehoboth Beach, DE 19971
302.226.8750
by Marie Nottingham
My Life
Conversation with Betty G
DID YOU KNOW?
rand Living had the privilege of visiting with Betty this month, and found Betty so happy and having such a wonderful outlook on life. Betty looks forward to upcoming events, and she plans her days around them. She is looking forward to July 4th, when her grand-daughter arrives from Italy, with her 2-year old great-grand daughter. “The whole family will be here and I can’t wait!” she says. “I just love when we are all together; it will be a great way to celebrate my 85th birthday.” Betty has been a resident of Brandywine Assisted Living for a whole year now, and she tells us it truly feels like home. “I still own my condo back home. I chose to rent, it as opposed to parting with it, in case assisted living wasn’t right for me, but this place is wonderful. I love the staff. They are always so upbeat. I don’t know how they do it every day. You always feel loved. The staff makes this a home. I have great relationships with all of them. I’m so fond of many, they seem like my own children. They keep an eye on me and are always encouraging me to participate in the many activities they offer. Some days I do participate, and other days, I just like to hang around or read a good book.” Betty’s enthusiasm went on as she explained, “I have everything I need here. There is a bus available to go to the doctor and the driver is very helpful. Coastal Pharmacy delivers every day, so refilling a prescription is very easy. Of course, my daughters are close by, and they make sure I get out every week to do a little shopping or just take a walk. I get regular meals, which I tended to skip at home. My weight is much better now when I eat regularly, so I can manage my diabetes better.” In her own words, Betty summed up why she likes it at Brandywine: •A beach atmosphere. •The people here. They take care of me like my family would. •It’s such a beautiful place. You enjoy waking up here every day. •Great amenities, like the pool. •There is always something going on. GLM
48% of women
feel it is important that their children continue their tradition of charitable giving
Let us help you make your charitable wishes come true. Even a small amount can have a big impact over time! The Community Foundation wants to help you support the charities and organizations that are near and dear to your heart.
Leave a legacy.
92%
of men name their spouse as their primary influencer in charitable giving
1324 Belmont Ave. Suite 401 Salisbury, MD 21804 410-742-9911 www.cfes.org
For Good For Ever
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The high quality eye care you have come to expect from Azar Eye Institute, Accurate Optical and Atlantic Retina is now available in Ocean Pines at one convenient location. Whether you need an eye exam, treatment for glaucoma or cataracts, retina care, diabetic care; glasses, contacts or sunglasses, you can find it all at one friendly and caring location.
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John and Michelle Fager Named Honorary Chairpersons of the ALOC 2011 Sandcastle Home Tour John and Michelle Fager have been chosen to be the Honorary Chairpersons of the Art League of Ocean City’s (ALOC) 2011 Sand Castle Home Tour. ALOC President Margaret Spurlock said, “Having the Fagers lend their names to the home tour gives the ALOC and the tour a lot of credibility as they are well known in our community.” The self-guided tour featuring 10 well-appointed homes will be held over two days on September 22 and 23, 2011. Tickets for the tour are $25 per person and may be purchased by calling the ALOC at 410-524-9433 or online at www. artleagueofoceancity.org. This will be the ALOC’s 7th annual home tour to raise funds for a new, larger facility for the Art League. Kickoff for the tour will be an exclusive cocktail party to honor the homeowners whose homes are on the tour. The party will be held at Fager’s Island on September 14, 2011 from 6 to 8 pm. Party tickets are $75 per person and can also be purchased by calling the ALOC at 410-524-9433 or online. Anyone purchasing 2 or more tickets will be listed as a gold sponsor in the tour booklet. Businesses wishing to purchase ad space in the booklet may also contact the ALOC. The Art League of Ocean City is a nonprofit organization dedicated to bringing the visual arts to the community through education, exhibits, scholarship programs and public service projects.
Well Being
Exercise IS the FountainbyofAutumnYouth Romanowski
Peninsula Regional Medical Center Wellness Manager, Autumn Romanowski, (center) leads Ellen Pinker, (left) and Susan Riley in weight training exercises.
D
id you know the fountain of youth costs no money? Exercise is the key to staying young, both physically and mentally. It is well known that participating in a regular exercise program can improve your quality of life, and reduce the risk of many diseases, including heart disease and some cancers. However, recent research also shows exercise can help brain function. A recent study out of Seattle showed that regular exercise can protect the brain and improve cognitive performance, in older adults, that are showing mental decline. The American College of Sports Medicine (ACSM) recommends accumulating a minimum of 30 minutes a day of physical activity to improve physical health. Studies have shown that those who walk daily, for at least 30 minutes, have a 50% reduction in developing heart disease. In addition, studies have shown that aerobic exercise, like brisk walking, cycling, and aerobic dance, can reduce high blood pressure and high cholesterol levels, regulate blood glucose, increase the “good” cholesterol, and reduce body fat. In addition to aerobic exercise, strength training is an important part of a complete exercise program. The ACSM recommends performing one to two sets of 8-12 repetitions of total body exercises, at least two days per week. Strength training is important to help prevent muscle and bone loss with aging. Those who perform strength training exercises, at least days per week, have been shown to maintain bone density and increase muscular strength and endurance. The final component of an exercise program is flexibility training. Following an exercise routine, it is important to perform
stretching exercises to promote flexibility. Stretching exercises should be performed three to five days per week. Maintaining flexibility as you age is important to help prevent injury, maintain range of motion, and ease daily living activities. It is important to first meet with a professional to learn how to perform all exercises properly. It doesn’t matter how old you are, it is never too late to start an exercise program. Programs are available for those who already have disease and need close monitoring such as cardiac and pulmonary rehabilitation. These programs are designed to closely monitor patients who have had a cardiac event or who have pulmonary disease. An exercise program is tailored to meet their goals and needs. For those without known disease, there are many exercise facilities available on the Eastern Shore. If a fitness facility is not really for you, all you need is a good pair of walking shoes and a safe place to walk to get your exercise. Find a buddy and do it together! Stay Young at Heart with Exercise! GLM Autumn Romanowski, Wellness Manager, Peninsula Regional Medical Center
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Grant From Komen Foundation Supports Breast Cancer Research On Eastern Shore
by Bennett Yu, MD Sandra Heineken, RN, BSN, OCN Bennett Yu, MD, left, Medical Director of Oncology Research and Sandra Heineken, RN, BSN, OCN, center, Clinical Research Manager at the Richard A. Henson Cancer Institute at Peninsula Regional Medical Center discuss a National Cancer Institute sponsored breast cancer clinical trial with Cynthia Jansen of Salisbury.
M
ajor advances in the optimal care of patients diagnosed with breast cancer have been made in the last 20 years, as a result of research based on clinical trials. This has provided significant hope for patients. However, everyone is aware that a diagnosis of cancer can be devastating – not only to the patient but also to the family and friends of that patient. While many patients elect to be treated with the current standard treatment for their disease, others seek out participation in a clinical trial. How does clinical trial participation provide the latest type of cancer care, yet have the potential to benefit future cancer patients? A clinical trial is research involving patients in an ethical and scientific way to study new or promising potential treatments. The National Cancer Institute (NCI) defines clinical trials as “one of the final stages of a long and careful cancer research process.” Trials routinely compare a standard of treatment versus what could be better than standard treatment, or offer a potential treatment where the standard treatment has a low degree of benefit. In this way, participation in a clinical trial can offer hope for both the patient who has cancer now, as well as patients in the future. Consistent with this, expert panels of cancer specialists, such as those that contribute to national cancer care guidelines by National Comprehensive Cancer Network (NCCN), believe “that the best manage-
ment of any cancer patient is in a clinical trial,” and encourage “participation in clinical trials.” While cancer specialists believe that every patient should be offered and treated in a clinical trial when possible, it is well known that only 3-5% of all diagnosed cancer patients participate in a study. This is true of the most common type of cancer in women; breast cancer. This participation rate is even lower in minority groups such as African Americans. As a result, this may compromise the applicability of cancer breakthrough treatments to minority groups, and may contribute to the disparities of cancer care. Improvement of awareness and understanding of breast cancer clinical trials, among the lay population as well as medical professionals, can help improve participation in clinical trials. Peninsula Regional Medical Center (PRMC) elected to apply for a Susan G. Komen Clinical Research Affiliate Funded Trials (CRAFT), grant to address these issues on the Eastern Shore of Maryland. Notified in February 2010 that it was one of five hospitals in the state to receive this grant, PRMC was funded for a second year (2011-2012) having successfully met its three program goals during the first year. First, PRMC and its team in the Richard A. Henson Cancer Institute, increased awareness of breast cancer clinical trials through outreach and education,
Well Being
reaching 525 community and professional members in Wicomico, Somerset, and Worcester counties. At each of the 22 events, participants completed an evaluation form to improve the content and quality of the presentations. Second, the team developed more efficient identification of possible participants in trials. In 2010 and 2011, 93 breast cancer patients were pre-screened through a tracking tool, 14 patients were found to be eligible and were presented the opportunity, and four patients, including one African American patient, ultimately decided to enroll in the NCI sponsored clinical trials at PRMC. All 14 patients were offered participation in a trial, and were surveyed regarding their decision making process. This will provide PRMC a better understanding of potential patient barriers to participating in a trial. Finally, the Richard A. Henson Cancer Institute team also searched monthly for NCI sponsored clinical trials for breast cancer patients, and opened two additional studies. Currently, about 10 trials are available for breast cancer patients. Continuing work supported by this Komen grant in 2011-2012 will allow PRMC to educate more community and professional members about breast cancer research, better understand patients’ decision making processes, and hopefully enroll more patients - especially those of minority groups to NCI sponsored clinical trials for breast cancer. In addition to the above emphasis on breast cancer studies, the Richard A. Henson Cancer Institute research program continues to provide its patients cutting-edge research studies for other common cancer types such as lung, colon, and prostate cancer. Thus, offering participation in clinical trials is an important component in the comprehensive and compassionate care of cancer patients at any cancer center. GLM Bennett Yu, MD, Medical Director of Oncology Research and Sandra Heineken, RN, BSN, OCN, Clinical Research Manager, both of the Richard A. Henson Cancer Institute at Peninsula Regional Medical Center.
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In This Deli Called Life, What Kind of Sandwich Are You? by Therese H. Ganster, LCSW, MPM
J
uly is “Sandwich Generation” Month. Are you celebrating? You should! What exactly are you celebrating, besides the 4th of July and our independence? Ironically, the Sandwich Generation commemorates the interdependence of those dedicated and patient adults that are found caring for their own children, as well as their aging parents. We can also define the “club sandwich generation” as those caring for elderly parents, while providing support to adult children and helping to care for grandchildren. What goes around comes around. I was fortunate enough to not only watch The Waltons, but have a family closely resembling this intergenerational phenomenon. Coming from a large family, with many unforeseen circumstances, I was privy to having my siblings, a cousin my age, two aunts and an uncle in their late teens/early 20’s, my mom and grandparents and at times my great-grandmothers toward their end of life. Truly a multi-generational experience. But, the life lessons learned were instrumental in my becoming who I am personally and professionally. Key issues learned at a very early age: “Respecting your elders, provided the opportunity to learn much about family, cultural and spiritual traditions. By lending a “listening ear,” there is much to be learned and savored as you grow older. While conflict is present, open communication and support will provide inner strength to carry on under the most difficult of circumstances, and “Celebrate the joy and presence of family”. As a young adult, the tides changed somewhat. “Nuclear” families, or young families, that became more mobile and often found careers geographically distant from their extended families, promoted “independence” or reliance upon their spouses and outside forces to help care for the physical, financial, and emotional needs of couples and their immediate young children. Unfortunately, my husband and I moved 300 miles away from our “extended” families. While phone calls were supportive, as well as frequent trips home, the day-to-day support fell only upon my husband and I, as well as pre-schools, hired sitters, etc. We both had careers, so balancing everyone’s needs from a distance, without a sense of guilt, was not that easy. As our children entered their pre-teen years, the spectrum changed once again. While living on the other side of Pennsylvania, I became part of the “club sandwich” providing my mom and her siblings support, helping them work through financial, 22
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emotional and legal issues for our grandparents. While this provided stressors for me and our extended family, I believe that having a strong foundation in my childhood assisted us through this process. When our children were teenagers and young adults, we became the “meat and cheese” in this “sandwich” generation, as we continued to live across the state, only making the support our families needed that much more difficult. Ever cognizant of trying to meet our parents’ and childrens’ needs, particularly when the kids felt they could be independent (“not!”), and trying to be physically and emotionally present, made for many open discussions and assistance from various resources. Then there was monitoring physician visits, changes in health conditions, hospitalizations and discussions regarding their choices for end- of life decisions were tolerable by having excellent support systems and again open communication. Perhaps the easiest of all of our incidents through this difficult time was when my mom actually stayed with us toward the end of her life. Having the sense of “being in control” to monitor her needs with her specialists, and provide her support, as well the opportunity to share daily activities and long conversations into the night, were blessings. The sharing of these experiences, with you, over a course of 55 years, is twofold. As times change, we have to change with them. Current circumstances are partially due to the financial constraints, and the fact that we are living longer. It is not unheard of to be in the “Club Sandwich” generation again. For many of us, we’ve come full circle. Yet, it has become more complicated! Chaos ensues proportionately higher, due to the hectic lives we all lead. Trying to balance work life and other loved ones’ medical, financial, physical, and emotional needs, takes its toll on the caregivers and their extended family. What can you do? Ask for help. Perhaps they can stay with your loved ones while you do the grocery shopping, attend one of your kids graduations, take a girls night out, etc. Know your community resources. In this era of “Google,” many websites can provide information to contact for help. Take a deep breath. Keep all lines of communication open between family members and caregivers, when needing to discuss difficult situations. Keep your sense of humor and try to laugh often. Enjoy whatever part of the “sandwich” you are in at this point of your life, and “Good night, Johnboy”… GLM Therese H. Ganster, LCSW, MPM, is the Branch Director of Peninsula Home Care, Salisbury, Maryland.
Dream Car
is coming and it’s time for our annual contest. This year you’ll need to “get your google on” and answer some questions. The winner will be selected “fish bowl” style from those who correctly answer the following questions:
1) What car sold more than one million units in 1965, setting a record, that still stands today? 2) What 3 specialty convertibles did General Motors originally introduce in 1953? 3) What was the first Japanese car to be produced in the United States? 4) What is generally considered to be the first “pony car”? 5) How much horse power did the first Porsche 911 have? You can send your responses to us by mail or fax: 866-289-6127, email them to: grandlivingmag@verizion.net or complete the form on our web site www.grandlivingmag.com This years winner will receive a $50 dollar gift card to Jiffy Lube.
Shane Kelley at 410-968-1022.
Now Open! Accepting Residents
Adjacent To McCready Hospital
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Facts
Sticking to the About Alternate Site Testing for Diabetics by John Motsko, C.D.E.
F
or people living with diabetes, sticking their finger to test blood glucose levels is necessary for survival. Over the last year, advertisements for diabetes meters, that don’t require patients to stick their finger, are popping up across many different types of print and television media. The option is called “Alternate Site Testing” and can become confusing and misleading for people with diabetes. Apple Discount Drugs is setting the record straight, by educating patients about the testing process, and why it may not be an option for all diabetics. “At minimum, three to four customers a week come into the store asking to buy the meter they saw on TV that doesn’t require them to stick their finger,” said John Motsko, Apple Certified Diabetes Educator®. “What they don’t know is that instead of sticking their finger, these meters’ require patients to stick and take blood samples from their forearm and other non-finger areas. The unfortunate and misleading part about the ads you see on TV is that they leave this critical piece of information out.” Through the Apple Diabetes Resource Center, Motsko offers one-on-one and group counseling sessions to educate, provide resources and support diabetic patients in managing the disease – something that is not always offered through television offers for specialty products. During each counseling session, John provides information on different types of blood glucose meters and stresses the importance of testing each meter to make sure it is functioning properly. “We want to empower the customers who come through our door looking for help with managing their diabetes,” said Motsko. “Since treatment is based on blood sugar readings, if glucose values are not accurate, then the treatment will not be appropriate, which puts the patient at risk for complications. Through personalized counseling, we can show diabetic patients what meters are available and explain to them the guidelines and limitations that come with using alternate site-testing meters.” 24
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When it’s okay - and not okay – to check from alternate sites Alternate site testing should only be used when blood sugar is stable: •Immediately before a meal. •When fasting. •Near bedtime. Always check from your fingertip, when blood sugar may be changing: •Following a meal, when blood sugar is rising quickly. •Within two hours after an insulin dose. •After exercise. •Whenever you think your blood sugar might be low or falling. If you are considering alternate site glucose testing, remember: •Never ignore the symptoms of low or high blood sugar. •If the results of a blood glucose test don't match the way you feel, confirm with a fingertip test. If the fingertip result still doesn't seem to reflect the way you feel, get in touch with your doctor. Talk to your doctor before using sites other than your fingertip for testing blood sugar. GLM John Motsko is a Diabetes Coordinator at Apple Discount Drugs. For more information about alternate site testing and diabetes meters, call John Motsko at 410-749-8401, press option “5” or e-mail him at john@appledrugs.com.
NO CONTRACT NO WORRIES JUST FUN SUMMER CAMP
Free to Breathe速 Delmarva Lung Cancer 5K Run/Walk 1 Mile Walk and Kids Dash
Mid-Delmarva Family YMCA When kids are at YMCA Day Camp, they experience something new everyday - like positive mentors, confidence-building activities and long-lasting friendships. Their days include swim lessons & free swim, organized games & sports, arts & crafts projects, team building activities & a whole lot of fun! Mid-Shore Family YMCA Salisbury, MD 410.749.0101 Lower Shore Family YMCA Pocomoke City, MD 410.957.9622 www.middelmarvaymca.org
Sunday August 14 Registration 6:30 a.m. Starts: 8:30 a.m. Cape Henlopen High School Lewes, DE
Visit FreetoBreathe.org to donate or participate
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If Your Have Cancer, You Are Not Alone
by Kathleen Burt, RN, BSN, MS
T
here are three words than can change your life forever. Those words are “You have cancer.” Cancer is no longer the leading cause of death in the United States. We have willingly given that title to someone else. But being diagnosed with cancer is scary, and having to navigate the healthcare system can be overwhelming. Through the state of Delaware, there are many programs to assist cancer patients and at the Nanticoke Cancer Care Center, our cancer care experts are there to help you every step of the way. In Delaware, 90% of the newly diagnosed cases reside in Sussex County. The top five diagnosis are prostate, lung, breast, colorectal and bladder cancers. Cancer is classified via a staging process, with Stage 1 being early stages to Stage 4, which is more worrisome for long-term survival. Screening and early detection are the key to long-term survival. With early detection, survival rates increase. So today, with better screening and earlier detection, cancer has become more of a chronic condition, where patients can be treated without the spread of disease, for longer periods of time. Because early detection is so important, you need to be committed to the health of you and your family and follow recommended screening schedules. Nanticoke is committed to, and prides itself on, its commitment to the residents of Sussex County by working to make screenings easily accessible to the community. Last year, Nanticoke performed the following screenings: 450 colonoscopies, 306 prostate screenings via blood draw, 430 mammograms, and 180 pap smears. 26
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Melinda Huffman is Nanticoke’s Cancer Care Navigator. She attends as many functions in the community as she is made aware of, to provide education and connect people with the screening process in Delaware. Melinda will enroll you in the screening process right at the community event, and then follow up to schedule the exam or screening needed, based on request of the patient or the patient’s medical history. She can even coordinate your appointment time. Patients are entered into a database, allowing Melinda to follow up to ensure appropriate yearly screenings are done. Nanticoke also provides cancer education and actively recruits minorities who are often at a greater risk for many types of cancer. Terri Clifton is Nanticoke’s Cancer Care Coordinator, and she has helped 278 patients in 2010 with numerous aspects of financial issues. Terri refers patients to Delaware Cancer Treatment Program and to Community Health Care Access Programs. These statewide programs are available to those who are uninsured and who have been diagnosed with cancer. Terri also assists patients applying for Medicaid and Social Security. Terri has assisted 125 patients with transportation in both the medical and radiation oncology areas at the Nanticoke Cancer Care Center. Nanticoke participates in the “Screening for Life” program, sponsored by the state of Delaware. This program helps pay for screenings for underinsured or uninsured Delaware residents. Melinda and Terri are committed to the residents of Sussex County, to provide the support needed to enter the
Kathleen Burt, RN, BSN, MS, is the director of Nanticoke Cancer Care Center.
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health care system, in the event of a positive diagnosis. Nanticoke hosted its 6th Annual “Survivors’ Day” on Sunday June 5th. Our first year we had 5 survivors, and this year, there were over 80. You can survive cancer, but early screening is the key to successful treatment. We are fortunate in the state of Delaware, and at Nanticoke Cancer Care Center, to have numerous programs and support services to help Sussex County residents with early detection and treatment. Nanticoke Cancer Care Center is committed to providing residents the cancer resources they need, including continuing to provide staff positions like those of Terri and Melinda. These support services are instrumental in the screening and early detection process, as well as the financial process, if required. In the fight against cancer, you deserve nothing less. If you have the need for further information please call (302)-629-6611, ext. 3765. GLM
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Break Out Grilled Spicy Shrimp Skewers Ingredients: 1/3 cup lime juice 1/3 cup honey 1 teaspoon soy sauce 1 teaspoon vegetable oil 2 tablespoons jerk seasoning 1 teaspoon hot pepper sauce salt and pepper to taste 2 pounds large shrimp, peeled and deveined 12 wooden skewers Directions: 1. Stir together the lime juice, honey, soy sauce, and oil in a large bowl. Season with jerk seasoning, hot pepper sauce, salt, and pepper. Add the shrimp and toss well to coat. Cover, and refrigerate for one hour to marinate. Place wooden skewers to soak in warm water. 2. Preheat an outdoor grill for medium-high heat. 3. Remove skewers from the water, pat dry, and spray with nonstick cooking spray. Skewer the shrimp. Grill the shrimp on the grill on both sides until pink and opaque, about 5 minutes per side.
Cancer Care– Your Choice is Important If you or someone you love, has been diagnosed with cancer, ask your neighbors or a friend; who provides leading edge cancer treatment on the Eastern Shore. Chances are they will say a 21st Century Oncology physician. Drs. De Masi and Jain; board certified radiation oncologist have been treating cancer patients on Delmarva with dignity and effective clinical care, for more than a decade.
3 Convenient Locations Salisbury Berlin Seaford 410-543-1943 410-641-0277 302-628-6344 You don’t have to travel far for advanced technology or care. It’s right here on the shore! 28
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Fare
the Grill... Summer Seafood Rock Lobster Tails
Ingredients: 2 tablespoon lemon juice 1 cup olive oil 2 teaspoon salt 2 teaspoon paprika 1/4 teaspoon white pepper 1/4 teaspoon garlic powder 4 (10 ounce) rock lobster tails Directions: 1. Preheat grill for high heat. 2. Squeeze lemon juice into a small bowl, and slowly whisk in olive oil, salt, paprika, white pepper, and garlic powder. Split lobster tails lengthwise with a large knife, and brush flesh side of tail with marinade. 3. Lightly oil grill grate. Place tails, flesh side down, on preheated grill. Cook for 10 to 12 minutes, turning once, and basting frequently with marinade. Lobster is done when opaque and firm to the touch.
Fish Tacos with Chipotle Dressing Ingredients: Marinade 1/4 cup extra virgin olive oil 2 tablespoons white vinegar 2 tablespoons lime juice 2 teaspoons lime zest 1 1/2 teaspoons honey 1 cloves garlic, minced 1/2 teaspoon cumin 1/2 teaspoon chili powder 1/2 teaspoon ground black pepper 1 teaspoon hot pepper sauce 1 pound fish fillets, your choice Dressing 8 ounce container light sour cream 1/2 cup adobo sauce from chipotle peppers 2 tablespoons fresh lime juice 2 teaspoons lime zest 1/4 teaspoon cumin 1/4 teaspoon chili powder 1/2 teaspoon Old Bay salt and pepper to taste
Grilled Pineapple with Mascarpone Cream Ingredients: 1 tablespoon chopped hazelnuts 1 lemon, juiced and zested 8 ounces of mascarpone cheese 3 tablespoons honey 8 slices of peeled fresh pineapple, 1/2-inch thick Directions: 1. Preheat the grill for medium heat, and lightly oil the grate. 2. Place the hazelnuts into a small saucepan over medium heat, and shake the pan until the nuts turn golden and fragrant, about 3 minutes. Remove from heat, and set aside. 3. Mix the lemon juice, lemon zest, mascarpone cheese, and honey in a bowl until well combined. 4. Grill the pineapple slices on the preheated grill until the slices show brown grill marks and the fruit is hot and juicy, about 3 minutes per side. 5. Serve 2 slices per plate with a generous dollop of sweetened mascarpone cheese and a sprinkling of toasted hazelnuts on each serving.
Directions: 1. Marinade, whisk together the olive oil, vinegar, lime juice, lime zest, honey, cumin, chili powder, black pepper, and hot sauce in a bowl until blended. Place the fillets in a shallow dish, and pour the marinade over the fish. Cover, and refrigerate 6 to 8 hours. 2. Dressing, combine the sour cream and adobo sauce in a bowl. Stir in the lime juice, lime zest, cumin, chili powder, and Old Bay. Add salt, and pepper in desired amounts. Cover, and refrigerate until needed. 3. Preheat an outdoor grill for high heat and lightly oil grate. Set grate 4 inches from the heat. 4. Remove fish from marinade, drain off any excess marinade. Grill fish fillets until easily flaked with a fork, turning once, about 9 minutes. 5. Assemble tacos by placing fish fillets in the center of tortillas with desired amounts of tomatoes, cilantro, and cabbage; drizzle with dressing. To serve, roll up tortillas around fillings, and garnish with lime wedges. www.grandlivingmag.com
Grand Living Magazine
29
Heart’s Desire
from “Grand Living” Readers
We all have a list of things to do in our lifetime. The list often begins in our childhood. Things like college, marriage, children, and home building, take center stage. There are many other things that make your “list of a lifetime.” Consider adding some of the suggestions below, because you’re only as old as you think you are! Send your “Heart’s Desire” for an upcoming issue, to grandlivingmag@verizon.net or call us at 410-726-7334.
“To learn how to horseback ride.” T. Ruppert - Age 48 - Millville, DE
“To visit Windsor Castle.” N. Schaeffer - Age 74 - Berlin, MD
“To learn wine appreciation.” J. Koon - Age 68 - Frankford, DE
30
Grand Living Magazine
“To learn how to ballroom dance.” J. Koon - Age 54 - Parsonsburg, MD
www.grandlivingmag.com
“To visit an active volcano.” G. Aiken - Age 62 - Ocean Pines, MD