Lake Norman Woman Magazine October 2023

YOGA, SPA, & BOUTIQUE

COMING SOON!

We are bringing a comprehensive approach to health and beauty to the Denver and surrounding Lake Norman community; offering yoga practice and organic skincare services to have you feeling your best inside and out! And for those who need a little retail therapy, we didn't forget about you! We will be launching a boutique so you can take home your favorite products and extend your bliss at home.

PRODUCTS YOU CAN FEEL GOOD ABOUT

Our commitment is to provide the finest quality products, delivered using the most advanced and effective organic skincare methods to help you safely achieve your health and beauty goals.

YOUR HAPPY PLACE!

We are working hard to create a space that will become your happy place. From the color schemes, textures, lighting and linens, this will be your everyday escape to a wellness haven.

Lake Internal Medicine and Pediatrics

Welcome

SMALL MEMBER-BASED CLINIC TREATING NEWBORN THROUGH ADULT:

Unrushed visits and ample time with Dr. Lake

No wait times

Same day or next day appointments with no copay or additional billing

Easy access to the care team by phone, email and patient portal 24/7

All visits and procedures, along with most labs covered with the membership fee

Complete confidentiality, always

Corporate discounts available

Dr. Josephine Lake has been practicing in the Lake Norman area for more than 20 years and left corporate medicine 2 years ago to start a solo office where she can truly deliver warm, compassionate and outstanding care to a limited number of patients.

(704) 274-8006

CLINIC: 13801 Reese Blvd West, Ste 150, Huntersville, NC 28078

HOURS: Monday-Friday, 8:30am to 5:30pm

EMAIL: clinic.northcharlotte@healthgram.com

her

MOST OF US WOULD AGREE THAT CANCER IS NOT a laughing matter. It’s not funny in the least. In fact, it’s the opposite of funny.

But our ancestors understood that laughter is good for both soul and body. e Book of Proverbs references the healing power of humor. Ancient Greek physicians prescribed visits to comedians for their patients. Clowns were high-ranking members of many Native American tribes. And more recently, Tania Katan, in her book My One-Night Stand With Cancer, describes how humor helped her defeat breast cancer not once, but twice.

Tania was as terri ed as any cancer patient when she was diagnosed at the age of 20…and then again at age 30. She even contemplated ending her life. But when her mother’s kleptomania of waiting room magazines ramped up to an absurd level, Tania found herself smiling. And when her best friend suggested they mock everything to do with breast cancer instead of shying away from it (they said things like “breast wishes instead of “best wishes” and “that’s the breast idea I’ve heard!”), she found that its terrible power over her was diminished.

She discovered other things about her battle to mock, too. When the woman processing her paperwork for her second mastectomy asked her to mark on a diagram of the human body an “X” over the breast that the surgeon should remove, instead of the “X,” Tania drew a scar on the right breast with an arrow pointing to her left breast with the caption “Repeat Performance.”

I discovered the healing powers of humor at the planning of my father’s funeral, of all places. As my brother and I made the arrangements, we could do little more than nod our heads

to the funeral director’s questions, tears streaming down our faces. e last thing we had on our minds was laughter. at is until the director looked at us with the most serious of expressions and said, “I see that your father elected to perform the cremation himself.”

My father was a thrifty man—he abhorred the thought of wasting money, and he would often rely on his own skills to accomplish a task in lieu of hiring someone else. But I was fairly certain that even Sam Jordan had not gured out a way to cremate himself.

I started laughing and I couldn’t stop. e funeral director nally realized what he had said and corrected himself, but I gu awed until tears were streaming down my face, snot was bubbling out of my nose, and I peed my pants. I nally composed myself enough to get through the rest of the planning and the funeral, but not without several more laughing episodes. ere were plenty of tears, too, of course; but that image of my father made me laugh repeatedly and got me through the hardest parts.

Life can be hard; sometimes we need to laugh hard at life. Laughter may not be able to solve our problems completely, but it sure does provide some much-needed distance between the situation and our fears about it. Go ahead and give laughter a try; but beware—you might want to keep a change of underwear on hand. w

October CONTRIBUTORS

Iredell Health System (Lori Sumner; Sydney Trexler); Dr. Kara Lembo; Lindsay Martell; Michon McCorkle; Dr. Poras K. Patel; Dr. Nicole Whitehead

DANA JORDAN

DANA JORDAN PUBLISHER

Dr. Tiffany Brown-Bush MS, ND, LCMHC

Robin

MERMANS

ROAD TO RESOLUTION DIVORCE MEDIATION & COLLABORATIVE FAMILY LAW

life as a leader

FIRST JOB: Babysitting

BEST CAREER ADVICE YOU RECEIVED: Find good mentor(s)

COMFORT FOOD: Pizza

AFTER HER OWN DIVORCE, Robin Mermans (attorney and owner of ROAD to RESOLUTION– Divorce Mediation & Collaborative Family Law) had a calling … she very much wanted to help others healthily navigate this di cult journey that so many of us must endure. She soon became a certi ed mediator and then attended law school to earn her Juris Doctor—allowing her to transition her mediation practice into a boutique law rm. Happily remarried with ve children, Robin considers it an honor and a privilege to guide folks toward their own road to resolution.

“I think a good leader needs to be well-rounded,” Robin begins, “and this includes possessing excellent communication skills, having a clear vision with an eye on the greater good, and leaving your ego behind. You also need to be exible and e ectively decisive.”

At home, Robin says she has an autocratic leadership style out of sheer necessity. Afterall, with the ve kids she and husband Andy share (and all within ve years of each other), there is little room for negotiation. When at work, she is both a democratic and a visionary leader, while philanthropically speaking she assumes a more delegative role. “I think you have to be able to adjust to the situation and have an open mind as leadership can and does take on many di erent forms,” Robin adds. “Regardless of whether it’s at work, serving the community, or my parenting, I encourage feedback so that we can all grow and learn together.” w

Robin M. Mermans is the principal attorney and owner of ROAD to RESOLUTION – Divorce Mediation & Collaborative Family Law. Her Charlotte-area legal team can assist with services such as pre-divorce education, separation agreements, non-adversarial divorce options, and co-parenting guidance. You can contact Robin and her team at 980.260.1600.

BEST TIME SAVER: Block scheduling (where you block off time on your calendar for your “to dos”)

LIFE/WORK MANTRA: Be present

FAVORITE SNACK: Epic Smoked Salmon Stick

I WISH I HAD MORE: Time

BIGGEST WORK PET PEEVE: Unpreparedness

LAST THING YOU RESEARCHED ON THE INTERNET: Nashville, Tennessee, hotels

CAREER HIGHLIGHT: Passing both the NC and SC bar exams in the same year

I subscribe to Diane Chapman’s definition:

“Leadership is anyone who wants to take responsibility for their influence in the world.”

HER DEFINITION OF LEADERSHIP:

It’s

8 THINGS TO REMEMBER DURING

There is ALWAYS something to be grateful for.

SERVICES INCLUDE treatment and therapy for ASD, ADHD, Depression, Anxiety, OCD, and trauma.

WE UTILIZE play, expressive, emotional, and behavioral therapies individually tailored to you or your child's needs.

Oliver Dr.

Dr. Pam Oliver is executive vice president and chief medical officer at Novant Health, an integrated network of hospitals, physician clinics, and outpatient facilities in the Carolinas. For more information call 336.287.4203 or visit www.NovantHealth.org.

How did your childhood inspire your interest in medicine? I grew up in Rocky Mount, a city of about 54,000 people, in eastern North Carolina. I was one of those kids who absolutely loved math and science. When I was a child, my father was diagnosed with cancer. It was then that I knew I wanted to pursue a career in medicine. I was really touched by the impact all of my dad’s doctors had on his life and ours. I knew I wanted to be a part of a profession with that kind of mission and impact. I received my undergraduate and medical degrees from the University of North Carolina at Chapel Hill. While I was enrolled in medical school, I also earned my master’s degree in public health with a concentration in maternal and child health. I began to see the importance of having a bigger perspective of healthcare, even beyond the individual care I provide to patients as their doctor.

How has your career in medicine evolved?

As a board-certified OB/GYN, I’ve been practicing at Novant Health WomanCare since 2005. I got involved in physician leadership a few years into practice and have taken on roles with increasing responsibilities over time. Although I’m now the system’s executive vice president and chief medical officer, I still see patients. I’m honored to be a part of Novant Health -- one of the largest health care systems in the Southeast -- where I work with an incredible staff in overseeing health equity, medical education, and clinical research.

Advocacy is so important to you. Talk to us about that journey. I’ve always had an interest in addressing disparities in Black maternal health, both locally and nationally. I believe my public health background has cultivated some of that. I know the importance of policy and how it impacts everything we do in healthcare, both at the bedside and at the community level. I have briefed U.S. congressional committees on Black maternal mortality, and I participate on panels with physicians and advocates from around the country. North Carolina Gov. Roy Cooper also appointed me as vice chair of the State Health Coordinating Council.

What can you

tell

us

about your exciting and important role as Advocate for Black Maternal Health?

I was blessed to have the opportunity to develop a relationship and partnership with U.S. Rep. Alma Adams, who is helping lead the charge with addressing maternal health disparities. Our shared goal is to improve health outcomes for Black women in the United States who, data shows, are three to four times more likely to die than white women during pregnancy, at delivery, or soon after. In some cases, access is an issue. Women in rural communities may have less access to an OB/GYN or a high-risk pregnancy specialist; and Black women are more likely to have complicated pregnancies. However, even when you take those factors into account, there’s no denying the disparity that exists. That is something Rep. Adams and I are working with our teams and engaged community leaders to rectify. w

LKNw RECOGNIZES A WOMAN DOING EXCEPTIONAL WORK IN THE LAKE NORMAN COMMUNITY, A LEADER WHO IS PAVING THE WAY TO CHANGING OUR ATTITUDES AND INSPIRING CONFIDENCE IN THE FUTURE.

LAKE NORMAN WOMAN'S

PINK

PAGES

A SPECIAL BREAST CANCER AWARENESS SUPPLEMENT PRESENTED BY

Average size breast lump (1.5”) found by accident.

Average size lump (.5”) found with regular breast self-exam.

Average size lump (.25”) found by first mammogram.

Average size lump (.165”) found by yearly mammogram.

Imaging at Mooresville 653 Bluefield Rd., Suite C 704.878.4552

BY IREDELLHEALTH

1 B. - More than 231,000 women are diagnosed every year. More than 2,000 American men are diagnosed each year.

2 A. - There are more than 2.8 million breast cancer survivors.

3 D. - Other risk factors include beginning menstruation at an early

22 OCTOBER 2023 . lakenormanwoman.com

How many American women are diagnosed with invasive breast cancer every year?

a More than 500,000

b More than 200,000

c More than 100,000

d More than 50,000

How many U.S. women have survived breast cancer?

a Nearly 3 million

b Nearly 1 million

c Nearly 500,000

d Nearly 100,000

Which of these is a risk factor for breast cancer for women?

a Older age

b Having a sister or mother with the disease

c

d All the above

Which of the following can lower the risk

a

b Maintaining a healthy weight

c Limiting alcohol intake

d All the above

1 2 3 4 5

Which of these changes in your breast should you tell your doctor about?

a A lump

b Unusual thickening

c Discharge from the nipple

age, never having given birth, being obese and drinking alcohol.

4 D. - Not using hormone therapy can also reduce the risk.

5 D. - Other signs to tell your doctor about include changes in the skin or an unusual increase in the size of one breast.

Sources: American Academy of Family Physicians, American Cancer Society, National Cancer Institute, Breastcancer.org

lkn PINK warriors

I HAVE NEVER MET A WOMAN across the spectrum of adulthood that is not apprehensive each and every time they lean into the mammography machine. It does not discriminate, and fear is the great equalizer. As we celebrate LKN Pink Warriors in our 12th annual Breast Cancer Awareness/Pink Pages Issue, we hope to inspire, remember, heal, and celebrate life ... with a lot of gratitude sprinkled on top!

we focus so much time and energy on our families that we tend to put our own goals and dreams second. We get lost trying to keep our tiny humans alive, even as they grow older. We are in autopilot trying to get through each day while balancing a career.

On May 4, 2017, I was diagnosed with breast cancer. The ground moved from underneath me. I was in shock. I was a healthcare provider, not a patient. My boys were 17, 15, and 12. I was in the midst of all those busy years shuffling kids to practice and school events. Then life as we knew it changed.

After my initial surgery, it was discovered that my cancer was Stage 2, not Stage 1 as first thought. I endured multiple surgeries, eight rounds of chemotherapy, and 28 radiation treatments. To realize the vulnerabilities that a patient feels when they go through a medical crisis changed me as a healthcare provider and as a human. I get it now. When you are not making the decisions, you have to trust the ones who are. I was so lucky to have such an amazing healthcare team and the unconditional support of my family and friends.

When you face a health crisis, it really does change your whole world. You are a different person on the other side of it. As I recovered and had countless hours/days/ months to “be in my own head,” a lot of self-discoveries happened. I had always considered myself healthy. I exercised and ate well. But there is more to health. I think as moms,

This event made me do an overhaul on my own situation. It opened my eyes to what my needs and desires are and the realization that life is precious. Nobody will make those dreams come true except for me. If a certain situation is not serving me, I don't invest my time in it. If I feel overwhelmed, it is time to step away and come back later. No good decisions are happening in those moments.

Over the past six years, self-care has become a priority. I like to have an easy morning before the workday starts, but my exercise includes a workout at the gym, yoga class, or taking long walks with my dog, Charlie. Meeting my girlfriends for lunch, a movie, or paddleboarding whenever I can is good for my mental health, but my greatest joy is from spending time with my family—family dinners are important, and we love traveling, watching football, and spending time on the lake.

I am passionate about empowering other women through their journeys. I also coach women individually on moving forward after their diagnosis because each case is so different. We focus on topics including self-care, mindset work, nutrition, work/ life balance, body image, and stress management. I am using my own personal experience to educate other women on these life skills and help them to identify and reach their goals after cancer. w

Dr. Kara Lembo

A NEW PERSPECTIVE ON LIFE

I will never forget the day I received my biopsy results over the phone during my lunch break at the office. I was sitting across the desk from my business partner and sister Dr. Lindsay Montgomery. I had my breath taken away from me … I was a statue frozen in time trying to make out what the nurse on the phone was saying to me. My diagnosis was invasive ductal carcinoma insitu of the left breast. I wrote a note on a post-it to my sister, “I have breast cancer!!!” No words, just silence as I listened to the nurse. My life had suddenly and drastically changed in a matter of seconds.

As I started this journey with multiple doctor’s appointments, I braced myself for the scariest experience of my life, not knowing what was ahead, realizing this is no joke and very real. After consultations and genetic testing, I decided to have a double mastectomy and, two reconstruction surgeries later, I get to celebrate almost two years of being cancer free.

I am living in my new normal with endocrine therapy that is suppressing my ovarian function, joint pain, hot flashes, and weight gain. I have scars that remind me everyday how cancer can change you. It’s not the club or change of life I ever wanted or asked for, but I am very blessed to have caught it early. I was very lucky I didn’t have to go through chemotherapy or radiation.

After kicking cancer’s butt, and with the great support of family and friends, I decided to make this my best life—to overcome the negative side effects and be stronger than ever. I have so much to live for and so many important people in my life to love and be alive for. My sister really came through for me at a time of great need, and my husband and children have been incredible! Without their love and strength, this journey would have been impossible. I also have so many amazing friends that did so much for me, and I am forever grateful.

Cancer has given me a new perspective on life. Sometimes I find myself looking back at old photos and my pre-cancer days. Truth is that I do not recognize the woman I see. I am not that person anymore and I never will be again.

BROUGHTTOYOU BY IREDELLHEALTH

But I am the new me, and I am stronger and wiser now than ever before … and I am proud of who I am.

I want to be a strong advocate for other women and particularly for those who are diagnosed at a younger age. I was just 46, and my annual exam detected it—not my mammogram so it is important to get both screenings.

I hope my story helps others. Cancer made me truly realize how valuable life is and how amazing it is to be alive. To all my fellow warriors: it is important to identify emotional, physical, and spiritual intervals in your life and create a way to align them so you can redefine and reconstruct your new post-cancer normal. You have to take care of yourself, increase your self-worth, and live a joyful and positive life. w

BY IREDELLHEALTH

Reducing Your Risk of Breast Cancer

According to the American Cancer Society, an estimated 300,000 new cases of invasive breast cancer wi be diagnosed in women in the United States for 2023. And while breast cancer remains the most common cancer in women, there are more than 3.8 miion breast cancer survivors in the United States.

Poras K. Patel, MD, is a physician with Southern Oncology Specialists and is board-certi ed in internal medicine/hematology/oncology. He received his residency and fellowship training at e Brooklyn Hospital Center and was honored as chief resident and chief fellow during his training. With ve area locations (Charlotte, Huntersville, Denver, Mooresville, Statesville), you can connect with Dr. Patel and the entire Southern Oncology team at www.southernoncology.com.

Reducing the risk of breast cancer involves a combination of lifestyle choices, medical considerations, and awareness. While some factors, such as genetics and famy history, are beyond your control, there are several steps you can take to lower your risk:

Limit alcohol intake: The American Cancer Society recommends no more than one drink per day for women. 2-3 drinks per day increases breast cancer risk by 20 percent.

Regular exercise: Engage in regular physical activity, aiming for at least 150 minutes of moderateintensity aerobic exercise or 75 minutes of vigorous-intensity exercise per week.

Maintain a healthy weight: Having more fat tissue after menopause can raise estrogen levels, which increases the risk of breast cancer. Strive to maintain a healthy weight through a combination of diet and regular physical activity.

Healthy diet: Consume a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit processed foods, sugary drinks, and excessive alcohol intake.

Avoid Smoking: Smoking is linked to a higher risk of many types of cancers, including breast cancer. Quitting smoking has numerous health benefits.

Breastfeeding: Breastfeeding may slightly lower breast cancer risk, especially if it is continued for a year or more.

Avoid hormone replacement therapy: If possible, avoid long-term use of hormone replacement therapy after menopause, as it may increase the risk of breast cancer. Some birth control methods use hormones, which may increase breast cancer risk.

Limit exposure to hormone disruptors: Reduce exposure to environmental factors that can disrupt hormones, such as certain chemicals found in plastics and personal care products.

Regular self-exams and clinical screenings: Perform regular breast self-exams to become familiar with your breast tissue, and schedule regular clinical breast exams and mammograms.

Know your family history: Understand your family's history of breast cancer and other related cancers. If you have a strong family history, consider discussing genetic testing with a healthcare professional.

Reduce stress: Chronic stress can affect your overall health. Practice stress-reduction techniques such as meditation, yoga, deep breathing, or mindfulness.

What are unmodifiable risk factors?

• Genetics (5-10 percent of breast cancer cases are hereditary). Mutations in BRCA1 and BRCA2 genes are the most common cause of hereditary breast cancer.

• Personal or family history of breast cancer.

• Having dense breast tissue.

• Abnormal breast tissue.

• Radiation exposure to chest before age 30.

• Race/ ethnicity (White women have slightly higher risk than African American women; however, in women under age 45, breast cancer is more common in African American women).

• Early menstruation and late menopause.

LKNE XPERT

A SPECIAL Q&A WITH DR. PORAS K. PATEL OF SOUTHERN ONCOLOGY SPECIALISTS

What should I consider in cancer risk assessment?

• Women above age 35 should have their risk for breast cancer estimated according to the modified Gail model—which is a computer-based model that uses several factors, including age, race, age at menarche, age at first live birth or nulliparity, number of first-degree relatives with breast cancer, number of previous breast biopsies, and histology of the breast biopsies to produce estimates of future breast cancer risk.

• Women at high risk for breast cancer may benefit from riskreducing intervention. Options for risk reduction should be discussed in a shared decision-making environment.

• Risk-reducing mastectomy is generally considered in women with a pathogenic genetic mutation conferring a high-risk for breast cancer, compelling family history, or possibly with prior thoracic radiation therapy before age 30. Some women may benefit from bilateral oophorectomy (removal of both ovaries).

It's important to remember that while these steps can help reduce the risk of breast cancer, they cannot guarantee complete prevention. Regular checkups with your healthcare provider are crucial for early detection and effective management.

w

WORK HARD, FIGHT HARD,

LOVEbig

“IF YOU ARE LUCKY ENOUGH TO LIVE IN PARIS … THEN WHEREVER YOU GO FOR THE REST OF YOUR LIFE IT STAYS WITH YOU, FOR PARIS IS A MOVEABLE FEAST.”

For Miee Peck (broker/owner of Opulence Group Real E ate  Moose), Hemgway’s eloquent descpon of the Cy of Light holds te for many spots doed around the globe—one  parcular. Ju north of Venice, at the foot of the Dolome Alps, es the sma, piusque town of Aano. And the, among the neyards and ferle farmlands, is an A Force base.

“My husband Matthew,” Michelle says, “joined the military just before our wedding in 1992 so I have called many locations ‘home.’ Aviano was truly one of the most incredible opportunities we ever had. It gave us the chance to see other parts of Europe— touring the quaint villages, shopping, and enjoying the amazing food and wines of the region. Although Matthew is retired from the Air Force, he still works for them as a contractor and is stationed at Aviano once again. For us, the military has always been an amazing adventure. I lived in the same home from the time I was 2 years old until I got married, so moving and traveling was very exciting to me. I have friends from every port of call and enjoy visiting them when I can.”

Collecting friends, experiences, and insights from all the places they were stationed has allowed Michelle a unique perspective on the world … and her career! e wisdom and the wherewithal she gleaned along the way has been quite fortuitous when it comes to helping folks nd their dream home. Not only is she a natural at meeting people, but she has the rsthand knowledge of what it takes to move into an unfamiliar community—how to adjust and make friends; how to nd your local resources; how to navigate being the new kid on the block.

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“As a military spouse, I had to re-establish myself and the family every time we received orders,” Michelle recalls. “Transitioning to a new community was something I became very familiar and comfortable with. I also have a strong sense of patriotism and absolutely love helping people achieve the American Dream of owning a home.”

Michelle’s father was a building inspector when she was growing up so she has been around construction her entire life, which helped steer her towards real estate. With her husband’s military career, the timing was never quite right until he and the family were able to make Mooresville their permanent home. It was the turning point she needed to launch her career.

“We did not have a lot growing up,” she shares, “and with a family of ve children, my father and mother were extremely hard-working individuals. With them as examples, I was always driven to succeed. My mother, who we lost to breast cancer, had a di cult life, but she worked hard, fought hard, and loved big. I know she would be proud of who I have become. When I am struggling or at a crossroads, I think about how she would handle it. When things are tough, I remind myself of what she would tell me—this too shall pass. She taught me to never give up and to work as hard as you love. When you give love, you get love!”

With the unpredictability of the military lifestyle and recognizing the brevity of life itself, Michelle has learned how to be fully present and appreciate the small moments that build the big memories. She understands that it is not so much about the quantity of time as it is the quality of time you have together, so cherishing the NOW is what Michelle is all about.

“We have two amazing children,” she smiles. “Matthew is 23 and just graduated from the University of Tennessee, and Chelsea, 17, is a senior at South Iredell who is considering following her father’s military footsteps. We eat dinner together as a family as often as possible and, of course, we travel to see their father in Italy … he’s an amazing dad!”

While Michelle has helped many achieve the American Dream, she has done the same for herself. Her tremendous work ethic and passion for what she

does has resulted in a parade of successes. “I have accomplished more than I ever dreamt,” she says. “I work hard, have a great reputation, amazing friends, family, and support group. Professionally, I am so excited to have opened my own rm last January, and we just recently moved into and renovated a new o ce space in Mooresville. It is my honor and pleasure to help people nd the home they desire—whether that is a ranch house on a gravel road, 20 acres and a barn, or a lake mansion, I consider it a privilege to help them through the process.”

Circling back to her mom, Michelle keeps her light alive by continuing to spread the love and the positive energy that her mom embraced and exuded so authentically. With the song “Live Like You Were Dying” tucked in her heart, she explains:

“My kids call it Meme’s song. We played it at her service because once she was diagnosed with cancer that was what she did … and that is how I strive to live my life. I believe it is okay to disagree, and people should do what makes them happy as long as it does not hurt others. We should forgive and love deeply. ese are the things that make a di erence. ese are the things that matter.” w

She taught me to never give up and to work as hard as you love.

BREAST CANCER & EARLY MENOPAUSE

BREAST CANCER TREATMENT, as if there weren’t enough side e ects to endure, often throws women into early menopause. Change in hormone levels and estrogen depletion caused by chemotherapy can trigger a premature onset. Most women naturally enter this phase of life when they’re in their 40s or 50s. After 12 months of not having a menstrual cycle, you are considered to be in full menopause. But for women undergoing breast cancer treatment, it can start earlier, last longer, and be more severe.

e memory fog, night sweats, weight uctuations, joint pain, and mood swings seem to "sneak attack" us one by one. It can be embarrassing to wake up in soaking wet sheets or feel like you are losing your mind because you cannot recall a commonly used word. Any of the dozens of menopausal symptoms can be so overwhelming and confusing that it seems our bodies are betraying us. Studies show that women are twice as likely to develop depression than men due to hormonal uctuations; therefore, women are particularly vulnerable to anxiety and depression during the transition.

Over the years, my clients have described distress regarding hot ashes, anger, tearfulness, rapid weight gain, skin changes, thinning hair, vaginal dryness, painful sex, insomnia, fatigue, headaches, memory loss, and panic attacks. All of which can negatively impact self-esteem and interpersonal relationships. In extreme cases, negative thoughts and beliefs regarding physical changes have led to avoiding sexual intimacy and social situations altogether.

Maintaining a balance between self, family, friends, and work responsibilities helps meet new challenges and boosts self-con dence. In addition to therapy, other minor adjustments can signi cantly reduce symptoms. Changes such as adding physical exercise to your schedule and limiting alcohol, sugar, highly processed foods, and ca eine are vital to managing overall health. But of course, always consult your physician. w

Michon McCorkle, MA, MBA, LFMT-S, is a Licensed Marriage and Family erapist, Diplomate Pastoral Psychotherapist, an AAMFT Approved Supervisor and owner of Family Matters Christian Counseling. She can be reached at 704.840.6555 or via www.family-matterscounseling.com.

LKNE XPERT

ANNIE

OWNER

BROUGHTTOYOU BY IREDELLHEALTH

SO,YOU WANT TO KNOW MORE ABOUT Screening Mammography

Having regular screening mammograms will decrease your risk of dying from breast cancer. Do you wonder by how much? It depends on when you start having mammograms and how often you have them.

If you get screened this often: Number

Yearly, from 40-84*

Yearly, from 45-54; every other year, age 55-79

Every other year, age 50-74***

What age should I start getting screened?

Breast cancer is an important health issue for women in their 40s. It is the second leading cause of all deaths for women in this age group.

What are the risks of screening mammography?

The benefits of screening are clear, but there are potential risks to consider.

1 ANXIETY – Some women get nervous around the time of their mammogram. Fortunately, any anxiety is almost always brief.

1 3

2 Half of all fatal breast cancers are diagnosed before age 50.

Black, Hispanic and Asian women are at particularly high risk of developing aggressive forms of early onset breast cancer, particularly in their 40s.

All of the major health care groups agree that yearly screening starting at age 40 saves the most lives. In fact, starting screening at age 40 will save 100,000 more lives every decade than starting at age 50.

No one in my famy has had breast cancer. Can I start screening later?

Yearly screening starting at age 40 is still important, even for those women who do not have a family history of breast cancer.

Three out of four women who develop breast cancer have no family history of breast cancer and no other risk factors besides being women.

All women, especially Black women and those of Ashkenazi Jewish descent, should talk to their doctors about their risk for breast cancer by age 30. If you turn out to be at higherthan-average risk, you may want to consider additional screening with ultrasound or MRI.

4

Women who do not get screened and develop breast cancer in their 40s are almost 3.5 times more likely to need a mastectomy and 2.5 times more likely to need chemotherapy.

When can I stop having screening mammograms?

We don’t know exactly. Although the most rigorous type of research on breast cancer screening does not include women over the age of 74 years, other studies confirm the lifesaving benefits of screening in older women.

Compared to women who are not screened, women age 75 to 84 who continue to have screening mammograms every year cut their chance of dying of breast cancer by about 65–70%, and if they get screened every other year, they cut their chance of dying of breast cancer in half.

Where can I get more answers to questions about screening mammography? Please visit MammographySavesLives.org and EndTheConfusion.org for more information.

2 FALSE POSITIVES (RECALLS) –About 1 in 10 women will be told they need a few extra mammogram pictures or a breast ultrasound to clarify something questioned on the screening exam.

3 BIOPSIES – Almost all biopsies performed today are minimally invasive needle procedures. Biopsy procedures accurately confirm or rule out breast cancer without the need for surgery. Fortunately, only 1 or 2 in 100 women are recommended for biopsy from screening, so most women will go their whole lives without needing a biopsy.

4 OVERDIAGNOSIS – Some small and slow-growing breast cancers found on a mammogram may stay small and never go on to harm a patient. However, research shows that only 1% to 10% of breast cancers found at screening may be “overdiagnosed” and most of these are found in women in their 80s.

5 RADIATION – The radiation from a screening mammogram is less than the radiation we all receive from two months of exposure to natural sources of radiation. The science is clear that the benefits of early detection far outweigh the potential, very small risk from the additional radiation of a screening mammogram. w

BROUGHTTOYOU BY IREDELLHEALTH

Getting a Clearer Picture

of Breast Cancer

Irede Health System now offers a top-ofthe-line breast cancer screening tool

According to the American Cancer Society, one in eight women will develop invasive breast cancer in her lifetime. Last year, there were 109 new cases of breast cancer recorded in Iredell County alone, and more than 20 of those cases resulted in death.

The number one way to stop breast cancer in its tracks? Getting a regular mammogram. Iredell Health System is pleased to announce it is now offering 3-D mammography—a new, cutting-edge screening and diagnostic tool that improves the early detection of breast cancer.

How It Works

Also known as digital breast tomosynthesis, 3-D mammography snaps images of the breast in slices, similar to how a scanner scans an image. By using a short X-ray sweep around the compressed breast, this technique can help the doctor see all around and between breast tissues. This type of mammography reduces chances for a blurry image and creates a sharp picture for your doctor to review.

TAKE CONTROL, GET SCREENED

Did you know that you do not need a physician’s referral to get a mammogram? Iredell Health System believes all patients should receive the most comprehensive mammogram possible. We are excited to lower the chances for breast cancer deaths in Iredell County and beyond with 3-D mammography. To make your appointment or to learn more, call the Iredell Women’s Health Center at 704-878-4551.

Improving on Traditional Mammography

Traditional 2-D mammography is a valuable tool, but it has limits. 2-D mammography takes a single image in two directions. Sometimes one image of breast tissue will overlap another— also known as a “summation shadow.” At times, this shadow can look like cancer when it isn’t anything at all. It’s like holding the page of a book up to the light: Though you see the words on the front page, you might be able to see the words on the back page as well, making it difficult to read.

3-D mammography uses nine low-dose exposures to reduce the appearance of

overlapping images. In other words, it’s like holding the pages of a book up to the light and having a clear view of the words on each page. Your doctor can also look at these images as a detailed, 3-D reconstruction of the breast. This greatly improves his or her ability to spot any small tumors or other abnormalities.

3-D mammography may help detect cancer earlier, when it’s most treatable— even for women who have dense breast tissue. With standard 2-D mammography, cancer can be more difficult to detect for those who have dense breasts.

A Better Picture th No Added Discomfort

The processes for 2-D and 3-D mammography are similar. In fact, the position of the breast and the degree of compression during 3-D mammography are exactly the same as 2-D mammograms. What’s more, there is no increase in radiation for a 3-D mammogram compared with the standard mammogram.

Deciding What’s Right for You

3-D mammography can be used for screening and diagnosis just like traditional 2-D mammography. Current guidelines for breast cancer screenings differ slightly:

The American Cancer Society recommends annual mammograms for women ages 45 to 54, then every other year for women ages 55 and older. Women also have the option to start screening earlier if they choose to do so. The U.S. Preventive Services Task Force recommends screening every two years for women ages 50 to 74.

How do you decide which option is best for you? Talk with your doctor about personal risk factors before making a decision about when to start getting mammograms and how often you should get them. w

Treats tricks!NOT

HALLOWEEN IS APPROACHING AND DESPITE THE HORDES OF GHOSTS AND GHOULS that will be roaming the streets, the only thing that really scares me is what the kids will be like after eating all that candy. Although sugar has long gotten the blame for all the post trick-or-treat craziness, the artificial food dyes actually concern me even more. Don’t get me wrong, the “sugar high” is a real thing, as is the dreaded crash that inevitably follows.

Nicole Whitehead is a chiropractor and owner of Advanced Spinal Fitness in Mooresville. She and her team treat patients of all ages for a variety of conditions. A member of the International Chiropractic Pediatric Association, Dr. Nicole has specialty training, certi cation, and a deep passion for helping infants and children. Connect with her at 704.663.5142 or via their website at www.AdvancedSpinalFitness.net.

However, many parents don’t realize that arti cial food dyes such as Red 40 and Yellow 5 can also cause hyperactivity and, in some children, can cause downright nasty moods and tempers. During my career, I have seen pediatric patients who have been saddled with multiple diagnoses pertaining to behavior and attention who experience a complete turnaround when arti cial dyes are removed from their daily diet. I see countless others who are somewhat a ected and experience more minor, but still disruptive, hyperactivity after consuming arti cially colored snacks.

e good news is that there are quite a few delicious trick-or-treat options

bears, lollipops, and treats like Swedish sh that are colored with natural dye. Natural dyes are typically sourced from items like beets, red cabbage, and turmeric,

and no, they don’t make the treats taste like veggies. Other options to stay clear of arti cial dyes but to stick with well-known and loved candy brands include packaged Rice Krispie treats and chocolate candy bars. Most, but not necessarily all, chocolate candy bars are free of dyes so do be sure to read the labels when choosing.

If you are unsure if your child is reacting to arti cial coloring, it can be helpful to try a week or two without the dyes. Remember that many savory snacks contain these ingredients, not just sweet treats. A variety of chips and crackers also are dyed with man-made colorings. Most of us can remember having our ngers dyed bright orange at least once by certain crunchy snacks. e great news is a trial removal of these arti cial dyes is quite easy given there are companies that use natural dyes. Most families I care for nd that eliminating these ingredients is rather easy and w

Dr.

LKNE XPERT

Dr. Nicole Whitehead

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The DearingPromiseTeam

WE ARE PERSISTENT.

We will always find a way. We create innovative opportunities and deliver solutions. We don’t sit and wait. We take initiative and follow up, follow through and follow back. We are relentless and accountable. We stick to our promises.

WE ARE PASSIONATE.

We love what we do and we have fun doing it. We stay positive and energetic no matter what comes our way. We have a drive to help others which keeps us motivated to constantly learn and evolve. We believe every person and every interaction matters.

WE ARE AUTHENTIC.

It’s more than just the transaction; it’s about forming lasting relationships. Our clients mean everything to us and we respond to them with honesty, patience and empathy throughout the entire process.

LEADERSHIP, LEARNING, and loving life

AS LAURA VANSICKLE (owner of ClosetsbyDesign) can tell you, running a business is not about having all the answers or all the power. It’s about inspiring others to rise to the challenge and asking the right questions to unlock collective wisdom and goals. And, Laura advises, never stop learning. She thinks of herself as a lifelong student — constantly growing and evolving. “I’m always eager to learn,” Laura says. “While I have acquired and experienced much over the years, there’s always more I can take in … always room for improvement.”

Celebrating 20 years in business this year, Laura and her remarkable team have worked hard to create a business and community they can be proud of. “It still amazes me,” she continues, “to think about where we started and where we are today. We have gone from having less than a handful of employees starting out on my back porch to being the largest custom closet company in Charlotte with over 100 employees.”

When her family moved to Charlotte from New York City in 2000, Laura was in the midst of a career change. She had been a freelance writer for over a decade and was ready to start fresh in a new city. “I wanted and was ready for a new challenge,” she explains. “A close relative spoke to me about the custom closet industry, and that ended up being a lifechanging conversation.”

Laura reached out to ClosetsbyDesign — a company that was fairly new in the franchise world at the time and without a location in Charlotte. “We asked if we could open one here, and there was a resounding yes,” she recalls.

Now, as Laura and her team embrace this 20-year (and counting) milestone, she looks back on the journey that has led her here: a beautiful combination that includes family, passion, and a desire to succeed.

“My biggest source of inspiration are my children — Sarah, Jackson, and Christian. ey are just great humans, and they are my very favorite people to hang out with. All of my kids push me every day to make this company better and better.”

When it comes to improvements, she’s always working on herself — whether that means taking some much-needed time for self-care or putting boundaries in place to separate her work and nonwork life.

“I’m very, very disciplined,” she says. “When I leave the o ce at the end of each day, I don’t take work home unless necessary. Keeping my boundaries tight makes me feel focused and productive, both professionally and personally.”

With Laura’s kind of work ethic and positive attitude, the world isn’t just her oyster, it’s an endless sea of possibility, and she takes nothing for granted. “I know how blessed I am for my team at work and my incredible family. Life is a journey of beautiful moments. Be present, patient, and persistent … and don’t forget to enjoy the ride!” w

Cut these out & use for whereverinspirationyou need it!

WORDS matter

Words are magic. They actually change our brain chemistry! As wordsmiths here at LKNW, we are especially fond of words that will resonate with our readers, in hopes they will help guide & inspire you.

We know how busy life can get—kids, work, family, friends … sometimes just getting dinner on the table is a Herculean feat! So in an effort to save our readers some time, effort, and money here are a few tips, tricks, and hacks that might come in handy in your busy world!

Take a vacation from your thoughts. Engaging in regular mindfulness/meditation practices is extremely bene cial for mind, body, and spirit. Many hospitals such as Mt. Sinai, Cleveland Clinic, and Mayo Clinic endorse meditation as a pre-surgery practice to promote relaxation, healing, and positive outcomes.

I’m just not that hungry. If you can’t nd your appetite, try meal replacement options such as nutritional shakes and snack/ protein bars that have the proper balance of essential vitamins, minerals, and antiin ammatory properties.

TIPS, & HACKS

Healing Made Easy

Delivery Please! Check out www.daily-harvest.com where you can choose from nutritious smoothies, soups, atbreads, and a host of other healthy, organic meals. Delicious easy-to-prep food is delivered straight to your door. Choose from over 120 chef-crafted options packed with sustainably sourced fruits and vegetables.

Try guided imagery. A quick online search will o er a variety of guided imagery resources … it uses spoken words to engage patients in active imagination and sensory exercises designed to produce a relaxed state. It can be delivered via audio recordings or individualized with a practitioner. Guided imagery has been shown to improve surgical outcomes and recovery; it increases relaxation; and it alleviates anxiety and pain associated with cancer and cancer treatment.

Soothing Smoothie

• ½ a frozen banana

*TIP: Keep a few bananas in your freezer as they are great in smoothies.

• ½ cup green grapes

• 1 kiwi, peeled

• 1 cup baby spinach leaves

• ½ cup ice

• 1 cup unsweetened milk

(of your choice) w

MIND body spirit

By mixing the ingredients of attitude and action, we can change the flavor of our own lives. Learn to nurture your body and soul to lead a more balanced life.

mindfulnessmental health AND

No dark fate determines the future. We do.

Each day and each moment, we are able to create and recreate our lives and the very quality of human life on our planet. This is the power we wield. Lasting happiness cannot be found in pursuit of any goal or achievement. It does not reside in fortune or fame. It resides only in the human mind and heart, and it is here that we hope you will find it."

–From The Book of Joy by the Dalai Lama and Desmond Tutu

What is MINDFULNESS?

While it has many interpretations and practices, mindfulness is …

Observing your life as it is happening.

Accepting your current situation without judgement or struggle. Allowing your feelings to exist without letting them drive your actions. Noticing thoughts as they arise without the need to buy into them.

Taking action based on what you feel in your heart rather than old habits or short-term conveniences.

Here are some ways to become more mindful in your daily life: Be aware of your actions. Speak to people with forethought and intent; be cognizant of not only what you say but how you say it.

Practice letting go of the past. This can be difficult but it only breeds negative energy. The past is over and you cannot change it … let it go!

Allow yourself to do nothing. Take time each day to just be still—sit outside and listen to nature; try to clear your mind and just breathe.

Let go of judgments and negative emotions. Once you become present in the moment, you may begin to notice things you hadn’t before, such as others’ circumstances, needs, and nuances. Take this opportunity to really hear the person talking to you and appreciate it for what it is with no judgments, no rebuttal.

Avoid getting caught up in the future. It’s perfectly fine to plan for your future but when those thoughts become all-consuming and turn to worry, you are not being in the present moment.

Keep your focus purposeful. If something needs your attention, make a conscious effort to dwell on that and that alone, but only for a specific period of time in solution-based thought. Once you have a plan of resolution, move on.

Don’t swim in deep waters too long! It is important to embrace negative feelings as well. We are human after all, and we must recognize and appreciate what is not-so-pleasant at times. But negativity begets negativity, so it’s important to search for the positives in all situations … breathe in, breathe out, move on. w

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