Living .Well October 2015

OCTOBER 2015

LIVING WELL MAGAZINE™

NO SNIVELING AND TIP THE MAID LIVING WITH THE DIAGNOSIS OF BREAST CANCER YOUR NO-FEAR HALLOWEEN GUIDE TO CAVITIES GENDER EQUALITY

HEALTH + HOME + FOOD + WEALTH + STYLE recycle: share this magazine

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October 2015

words from the editors and publishers:

Sorry guys, if I continue to bore you with this story but you will probably find this humorous too.

Back in June, I shared my experience and/or nightmare about looking for a dress for my son’s wedding in October.

Upon the announcement of my son, Michael’s engagement and wedding date. I had no problem quickly choosing dresses that I loved, one by designer Stella McCartney and another by designer Zuhair Murad were my favorites.

It would not have been such a nightmare had I simply taken out a small loan and purchased one of the two dresses that I adored. If you remember, that is not what I chose to do and continued looking for a dress that was in my price range. Yet, I was always comparing everything to my favorite designer dresses, consequently making finding a dress impossible. In late August, as department stores begin to have huge sales I finally purchased not one but two dresses. Still always looking and hoping to find either one of my original choices on sale. (Actually I did) The Stella McCartney dress was finally reduced to $4,000 dollars (not such a bargain) and only available in a size 0, (whatever that size is). The realization set in that I was not likely going to wear either one of my favorite designers’ dresses finally became a reality. Now I have two dresses to wear to my son’s wedding. One of the dresses I decided not to wear, but because the price of the dress was so dramatically reduced, it was not returnable. With my dress in hand, actually both dresses, I headed to a very highly recommended seamstress in the area. I excitedly stepped into her dressing room put on my favorite of the two dresses and announced that I was ready for her to pin it up to shorten the length. Very unexpectedly, she took one look at the dress and said, “Honey if you want this dress to fit you properly you need it in a size 16 and proceeded to show me what was wrong with the fit. Wow! Good thing I brought the other dress! Somewhat deflated, I took the dress off, still wearing the shoes that I had bought to match. Fortunately I was able to use the wrong shoes for shortening the length. I slipped into the dress, (the one I could Advertising Inquiries: not return) and once again announced I was ready. Reluctantly, pulling back the curtain to share once again, but she loved it and I did too once we finished cutting the sleeves off to make cap Brian Strauss -Publisher sleeves and turning the high neckline into a somewhat plunging V-neck. Now all I need is shoes.

Sales@livingwellmagazine.net The moral of this story is that I will not be compiling information to help women find that perfect gown, as I had stated in my first dress story. It would be impossible. Every dress, every 302-355-0929 designer, every style, and every size, fits differently. If you really like the dress, you can’t worry about what size the tag says it is, as long as it looks good on you. It doesn’t matter what the tag HELP WANTED EXPERIENCED AD SALES says and it doesn’t have to cost $10,000 dollars to look good.

Call: 302-355-0929 Email:

Enjoy! Brian and Diane Strauss

sales@livingwellmagazine.net

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LIVING.WELL MAGAZINE (ISSN 2325-2448) published monthly by Savendale Media Group, 1519 Old Coach Road Newark, Delaware 19711 Phone:302-355-0929 Fax:302-454-1867 www.livingwellmagazine.net

www.livingwellmagazine.net LIVING.WELL MAGAZINE© is a monthly publication distributed regionally. All articles and advertisements are accepted in good faith. Living Well Magazine assumes no responsibility or liability for any claims, conditions, products, services, errors, and/or opinions expressed through articles and advertisements appearing in this publication. Please check with your primary health care provider before making any changes. Living Well Magazine welcomes your comments and suggestions. No part of LIVING WELL MAGAZINE™ may be reproduced in any form without permission and written consent. Copyright, All rights reserved. 2015 Various Trademarks Used By Permission Of Their Respective Owners

Editors / Publishers Diane and Brian Strauss Associate Editor: Michael Strauss puppy love™ Creator Sean Strauss Media Development Jonelle Jentilucci Resident Artist and Creator of the Valentino caricature.

Liam McWilliams Design and Graphics Diane Strauss

Cover: designed by dcstrauss puppy love™ Michael Strauss and the soon to be Mrs. Strauss, Jonelle Jentilucci, October 17, 2015. 

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October 2015

For more content, photos, and special give-aways you can find and follow us on all these social media forums

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inside Emotional Maturity Feels Good and Is Sustainable

by Karen Verna Carlson

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Spirit, Inc.

by Suzanne Eder

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No Sniveling and Tip the Maid

by Karen Jessee

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How Those Aha Moments Are Getting In Your Way

by Joe White

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Ask The Vet Dr. Rose Dileva

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Hands on Health Ann Wilkinson P.T.M.S.

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Earth Talk: Are the California redwoods in danger because of the drought?

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Vertical Farms A Better Way to Feed the Planet?

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Your No-Fear Halloween Guide to Cavities

by Dr. Andrew Swiatowicz

Th

Art of Eati

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Tips for Eating the Right Amount of Fruit

by Alisa Rose

TRUE™ AWARD

Nutrition for Breast Cancer

By Tamar Genger RD, MA

Living With The Diagnosis of Breast Cancer Kate Madigan Life insurance For Diabetics

by Ed Wilde Preventing High School Sports Injuries

by Dr. Trent Ryan 4

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Breast Cancer: Side Effects can be helped with Acupuncture

by Dr. Kelly Brown

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The Funny Things Patients Say

by Dr. Scott Rosenthal

Sexual Health and Healing: Does Gender Equality Impact Sexual Desire? with Dianna Palimere, PhD, LCSW

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The prestigious— Living.Well Magazine Tried and True award is given only awarded to products and companies that we have used and can honestly say they were great! If it has the LWM Tried and True Award on it, we are sure that you will too.

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FYI

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October 2015

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Where’s Valentino?

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{

FYI Apple announced

While the majority of new breast cancer cases occur in women over the age of 40, the disease can also affect younger people. Last year, a new study found cases of advanced breast cancer are increasing among women ages 25-39. It’s important for younger women to be aware of their health and risk factors, which vary by individual.

that they are releasing a new feature to the Apple Watch. This new feature will allow doctors, specifically, OBGYNs and Maternal Fetal Medicine Doctors, the ability to monitor their high risk or bedrest patient and their unborn babies heart rate which relays the information right to their doctor’s Apple Watch. According to Apple, the doctor will be able to view their patients transmitted data right on their watch while the patient rests comfortably in their own home.

Source: American Cancer Society

Conventional 2D mammograms provide doctors with a 2D image to evaluate the breast. This can be limiting due to overlapping layers of tissue, which can sometimes produce unclear results, false alarms, or worse—cancer being missed.2

Genius 3D Mammography exams deliver a series

of detailed breast images, allowing your doctor to better evaluate your breasts layer by layer. Genius 3D Mammography exams are FDA approved, and over 100 clinical studies have shown that by using this technology, doctors are able to screen for breast cancer with much greater accuracy—regardless of a woman’s age or breast density.1,3,4

The definition of a Craft Beer Drinker This according to an article posted on Ad Age, Defining beer drinkers based on the kind of beer they drink, written by Beth Snyder Bulik.

Craft Beer Drinkers

{

Breast Cancer Awareness Month 2015

[This group is more likely to

spend time thinking about beer rather than work. They are more open-minded than most people, seek out interesting and varied experiences and are intellectually curious. Craftbeer drinkers also skew as having a lower sense of responsibility and they don’t stress about missed deadlines and tend

]

to be happy-go-lucky about life.

Greater accuracy means better breast cancer detection and a reduced chance of being called back for additional screenings.* And that’s Genius.

DID YOU KNOW? With the latest low dose software, a Genius 3D Mammography exam delivers a low dose of radiation, well within FDA guidelines, that is comparable to a 2D mammogram.5-7 Visit the website for locations in your area that offer Genius 3D Mammography. mygenius3d.com *Versus 2D mammography alone 1 Friedewald S, Rafferty E, Rose S, et al. Breast cancer screening using tomosynthesis in combination with digital mammography. JAMA. 2014;311(24):2499-2507.

3 Skaane P, Bandos A, Gullien R, et al. Comparison of digital mammography alone and digital mammography plus tomosynthesis in a population-based screening program. Radiology. 2013;267(1):47-56.

4 Rafferty E, Smith A, Niklason L. FFDM versus FFDM with tomosynthesis for women with radiologically dense breasts: an enriched retrospective reader study. Paper presented at: Annual Radiological Society of North America (RSNA) Meeting; November 2011; Chicago, Il. 5 Skaane P, Bandos A, Eben E, et al. Two-view digital breast tomosynthesis screening with synthetically reconstructed projection images: comparison with digital breast tomosynthesis with full-field digital mammographic images. Radiology. 2014;271(3):655-663.

6 Zuley M, Guo B, Catullo V, et al. Comparison of two-dimensional synthesized mammograms versus original digital mammograms alone and in combination with tomosynthesis images. Radiology. 2014;271(3):664-671.

7 FDA PMA submission P080003/S001 physician labeling.

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October 2015

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October 2015

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IN THE KITCHEN

*Just a sampling of items you could find at the Warehouse Sale. See their ad on page 5 in this issue.

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October 2015

NEEDS YOUR DONATIONS! The mission of Great Stuff Home: A Resale Furniture Shop Like No Other, is to generate revenue for the Delaware Breast Cancer Coalition (DBCC) by providing the community with high quality home furnishings and home accent pieces at a fraction of the original price. All net proceeds from the shop benefit DBCC’s programs and services to support women and men in Delaware who are affected by breast cancer.

Please help us restock our store with your gently used furniture and home accents. We are looking for upholstered sofas and chairs, dressers, accent tables, coffee tables, desks and lamps.

All donations are tax deductible. Free pick up may be available from our partner, Hopkins & Sons, Inc. To donate furniture, please contact Barbara Eckels at 302.477.1870 or email beckels@debreastcancer.org.

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October 2015

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COMING IN NOVEMBER & DECEMBER ISSUES of LWM...

W

ALENTINO!

Enter: Where’s Valentino Contest Find Answers Here

ow! There are thousands of readers who are searching for Valentino. He is hidden somewhere on the pages of each issue. The entries keep pouring in.

We hope you have fun looking and will continue your quest to find Valentino. When you find him please email us at: info@livingwellmagazine.net [Please type “Valentino” on the subject line or scan the QR Code below]. — keep searching and entering the “Where’s Valentino!” Contest every month for a chance to be entered to win some great gifts, subscriptions, T-shirts, mugs, cookbooks ,books, videos, etc. Or enter on our Facebook page www.facebook.com/ LWMlivingwellmagazine (be sure to inbox us so you aren’t sharing his location with everyone), and be sure to like the page first. Please remember to share our page with your friends!

Below Is The Answer To Last Month’s Where’s Valentino!

In the September issue of LWM , Valentino was catching some rays in the flower patch of Gateway Gardens Center in Hockessin , check out P23 He is on the right side between the orange and purple flowers. Remember, Autumun is a great time to plant! When you find Valentino, send us an email at Info@ livingwellmagazine.net (be sure to put Valentino or Where’s Valentino in the subject line or just scan the QR Code with your smart phone and it will take you directly to an email addressed and ready to go, all you have to do is tell us where he is. Have Fun! AHEEEHAPJDDNJKOMMCOONMLGGKDPBDDIFMLKIILIBPAHEEEHA BNFFFNBPNHMLAHBCEGFKAOAHFHADBPJOBCICACIONPBNFFFNB NHCDMGFPMPENGLFIPCGBDBBADAGNDKIOMKMJKCPMPIJMOKGDL CHOBIFFGCDMEFJNPAAACCBBBCDKCGPMBIKPAFKLNGHEDKCFPD KCNDLOFEHPAGDJHHICJIKEGHKINGCKGEBKLBKHFLBBOFHKHMA DLKIMFFBAOGLJECDFBMPEMENNFILACIIMPNKIEHLMJJJMMMHH BFKLANFMBJEHIEOJBMMEOHANENBEKOMLKLPHHBJNAMFNAJDBL HGLCCFFJJHIHEMOIJCADNKMBNMABKOODHABKOFNKOMEJPABPB BDDMAIFOBCBBKBMFMLOJBANAOJLHHGIGIONFKLPMHPOJGOMMG DEOGDFFOHBFKFGHBFLKNLPIMAFNONDMHKAHHHIBFIFHLDHFPC EFFNNNEHKJHLFBOOHFEOCAAHFHACILHDDCKNKKFMAHFHAOLNJ APBBBPAPIBBENPELBCBGPGAAEBEEDIBOOGPPKDPMCAFBAMMPH HHHHHHHPPHHHPHPPPPHHPPHHPHHPPHHHPHHHHHHPPPPPPHHHH

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Caricature created by: Liam McWilliams

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Karen Carlson October 2015

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October 2015

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Are the California redwoods in danger because of the drought?

California is home to two of the three redwood tree species: coast redwoods and giant sequoias. The coast redwood is the Earth’s tallest tree, growing more than 360 feet tall, with a trunk that can extend to 24 feet wide. The “General Sherman” giant sequoia tree at Sequoia National Park in California’s southern Sierra Nevada mountain range is the “undisputed King of the Forest,” being not only the largest living tree in the world, but the largest living organism, by volume, on the planet. General Sherman is 2,100 years old, 2.7 million pounds, 275 feet tall and 100 feet wide at its trunk.

which is created from warm, moist air rising from the cold surface waters of the Pacific. Giant sequoias grow in mountain habitats where an abundant winter snowpack recharges the groundwater they depend upon and use in the summer. However, during the past two winters, much of the giant sequoia range had little to no snowpack. As a result, groundwater levels have dropped, sometimes below the roots of immense giant sequoias that are greater than 1,000 years old, says Todd Dawson, a UC Berkeley Professor of Integrative Biology who’s been studying redwood ecology and physiology for over 25 years.

Redwood forests offer shelter to many animals, including mountain lions, American black bears, Roosevelt elks and mountain beavers. According to the National Park Service, approximately 280 species of birds have been recorded within the boundaries of redwood national and state parks. Just over 800 bird species occur in all of the United States, so that equates to approximately one third of the country’s birds.

For the coast redwood, the drought impacts are not as severe as they seem to be for the giant sequoia. Trees at the edges of the coast redwood range, including the southern end of the range in the Santa Lucia Mountains south of Big Sur, seem to be the most affected. Here, young trees have lost a lot of their leaves, and have not grown very much, if at all, Dawson said.

“Redwoods are an iconic key species,” said Anthony Ambrose, a postdoctoral researcher with the Department of Integrative Biology at the University of California (UC), Berkeley. “They’re the tallest, oldest, and largest trees in the world. Everybody around the world knows about them. People love them, even if they’ve never visited them. They’re beautiful forests and beautiful trees.”

For the past four years, California has been suffering a grueling drought. Agricultural economists at UC Davis recently calculated that the drought will cost the state $2.74 billion in 2015. Drought can reduce tree growth rates and may even lead to tree death. Coast redwoods receive up to 40 percent of their water supply from fog, 12

“Many trees are experiencing the highest levels of water stress we’ve ever measured. We’ve not seen much tree mortality, but many trees have thin crowns and do not look healthy,” Dawson said. “Our biggest question is just how far can these trees be pushed? If the winter does not bring good rainfall and a normal snowpack throughout the state I am not sure how our state trees will do. We are likely to see some mortality as we are seeing in some of the pines and firs in California. But how bad this will be - only time will tell.”

CONTACT: Save the Redwoods League, www.savetheredwoods.org.

EarthTalk® is produced by Doug Moss & Roddy Scheer and is a registered trademark of Earth Action Network Inc. View past columns at: www.earthtalk.org. Or e-mail us your question: earthtalk@

emagazine.com. www.livingwellmagazine.net October 2015

Vertical Farms A Better Way to Feed the Planet?

When Dickson Despommier’s book The Vertical Farm: Feeding the World in the 21st Century was first published, there were no vertical farms. Now, it’s an exciting movement in U.S. food production, providing pesticide-free leafy greens and herbs to a fast-growing population.

Indoor vertical farms use LED (light emitting diode) lighting for efficient photosynthesis in place of sunlight, and can grow plants year round—in half the time and with far less water compared to outdoor, open-field farms. There’s also no risk of genetically modified (GMO) seed contamination or crop failure due to weather conditions like drought.

“On average, we’re growing in 16 days what otherwise takes 30 days in a field—using 95 percent less water, about 50 percent less fertilizers, zero pesticides, herbicides and fungicides,” says David Rosenberg, chief executive and co-founder of AeroFarms. “People don’t want chemicals on their food. And we’re able to offer them a residue-free product with no pesticides.”

Harvest’s tiny 1/10 acre lot next to a parking garage aims to grow up to 100,000 pounds of tomatoes, herbs and greens annually. It would take a traditional outdoor farm five acres, or 50 times the land area, to grow that much food. “We’re replacing food that’s being grown in Mexico or California and shipped in,” explains Penny McBride, a Vertical Harvest co-founder. “We feel like the community’s really ready for a project like this. Everybody’s so much more aware of the need to reduce transportation, and people like to know their farmer and where food’s coming from.”

In 2013, FarmedHere opened its vertical farm in an abandoned warehouse in the industrial Chicago suburb of Bedford Park.

The farm, which was the first of its kind to receive USDA national organic certification, has been successfully distributing its produce to an extensive array of grocers within the Greater Chicago area, including Whole Foods, Mariano’s, Shop & Save and Pete’s Fresh Market. FarmedHere reuses 97 percent of its water, uses no herbicides or pesticides, and takes advantage of indoor growing technology to create optimal-tasting plants.

Aerofarms is currently constructing what will be the world’s largest indoor vertical farm. The $30 million, 69,000 square-foot complex in a former steel mill in Newark, New Jersey’s Ironbound District will grow up to two million pounds of kale, arugula and other greens annually. At the groundbreaking ceremony in July 2015, New Jersey Acting Governor Kim Guadagno said: “By 2050, there will be nine billion people who need to eat every day.

And the solution is right here on the property you’re standing on.”

“The plants have better nutrients, better growing conditions, and actually we can tweak the taste with lighting and with nutrients, with temperatures, with turning lights on and off at certain times of the day and with humidity,” said Paul Hardej, who founded FarmedHere with his wife, Jolanta. “We have conducted a lot of blind tests with the best chefs in Chicago and we found our products to be a winner.”

Vertical Harvest’s three story, 13,500 square-foot vertical farm is also now under construction in Jackson Hole, Wyoming. With an average annual snowfall of 450 inches, one might not equate the mountainous region with year-round local food, but Vertical

EarthTalk® is produced by Doug Moss & Roddy Scheer and is a registered trademark of Earth Action Network Inc. View past columns at: www.earthtalk.org. Or e-mail us your question: earthtalk@

CONTACTS: AeroFarms, www.aerofarms.com; Vertical Harvest, www.verticalharvestjackson.com; FarmedHere, www.farmedhere.com.

emagazine.com.

www.livingwellmagazine.net

October 2015

13

Tips for Eating the Right Amount of Fruit

*Fruit

How many times have you been told that eating fruits and vegetables is the best way to lose weight? Of course fruits and vegetables are a lot better than eating candy, starchy foods and fatty foods, but you might be surprised to know that fruits may not actually help you lose weight.

Serving sizes, counting calories, and keeping track of fats, sugars and carbohydrates eaten within a day can help or obstruct you from losing weight.

If your caloric intake is too high for your particular body type, activity level,age,height, weight/ BMI you won’t successfully lose weight. And fruit is a part of the equation.

A piece of fresh fruit is always a better choice over purchasing fruit in snack packs or cans. However, if you purchase fruit pre-packed for the conveinence of packing lunches or a quick snack, be sure that the label says, “packed in own juice.”

Stay away from fruit that is packed in sugar or even packed in fruit juice, because it is unnecessary sugar and extra calories that you don’t need. Always read labels because “light” isn’t always that light. The same rule applies to fruit juices. When purchasing fruit juice make sure that the label clearly states, “no sugar added” and read the label even if the front of the product boosts “light or lower calories.”

Fresh from the garden doesn’t mean there are no calories. Some fruits are much higher in calories then others. Make good choices. Eating too much of anything when you’re trying to lose weight, fruit included; will not lead to successful weight loss.

+ When you are trying to lose weight or maintain your current weight, everything contains calories and fruit calories count. *Take a look at the chart and try to incorporate a variety of fruits into your diet rather than eating too many bananas or avocados, both packed with health benefits but both higher in calories too. But if you have to make a choice between a piece of cake or a piece of fruit., fruit is always the better choice.

-

25 25 6.8 65 35 45 50 25 9 5 1.1 2.7 26

Alisa Rose is Founder and President of Art Fitness. Art Fitness is commitment to providing a personalized atmosphere that eliminates intimidation and promotes success. Art Fitness is dedicated to improving the movement of one’s body and restoring quality of life through proper exercise, correct form and good nutrition.

The Art Fitness team can be reached at: 302.477.0123, or info@ArtFitnessTraining. com Stay up to date with all things fitness: Facebook.com/ArtFitnessLLCFollow Art Fitness on Twitter: @BdyIsaWrKoF_ART

Many fruits can be filling and satisfying and even help to tame a sweet tooth and are always a better alternative to eating unhealthy sugar loaded snacks and or artificially sweetened snacks. But just like everything else fruit should be eaten in moderation too.

The real secret to weight loss is portion control and intentional exercise.

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Apple Apricot Avocado Banana Blackberry Cherry Clementine Fig Grape Grapefruit Kiwi Mango Honeydew Melon (wedge) Cantaloupe (wedge) Nectarine Olive Orange Peach Pear Pineapple Plum Prunes Raisin Raspberry Strawberry Tangerine

Calories(per piece) 95 30 150 107 1 2.4 24 10 3 100 34 40 36

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October 2015

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Living With The Diagnosis of Breast Cancer

By Kate Madigan

Kate Madigan from Wilmington, Delaware is 36 years old.

When you first meet Kate, she strikes you as a caring, delightful, intelligent young woman. She may tell you she’s an eighth grade language arts teacher and that she has the honor of being the mother of three year old Josephine, or ‘Josie’ for short. She may also share that her husband and she have recently celebrated five years of marriage. However, what Kate may not tell you is that she is a fighter in every sense of the word. Kate is a three year breast cancer survivor! In many ways, Kate, or more specifically her spirit, is unbreakable.

In April of 2012, Kate and her husband celebrated the birth of their first child, Josie. What a joyous time! Several months later, in August, while in the shower, Kate felt a lump near her left arm pit.

It was very far to the side, didn’t hurt much, and was about the size of a small marble. Over the next few weeks, Kate tried everything to make it go away with little success. After three weeks she finally gave in and made an appointment to get it checked out.

At first, her doctor thought it was nothing to be concerned about but encouraged her to have an ultrasound, just to be on the safe side. She got an appointment scheduled the very next day at the Helen F. Graham Cancer Center at Christiana Care. Kate was terrified. She was 33 years old so she never had so much as a mammogram before. Nobody in her family had a history of breast cancer therefore her risks were relatively low. But being in the cancer center and sitting in the hospital gown led her instincts to assume that this wouldn’t be the last time she saw the insides of the Graham Center.

The doctor performed an ultrasound followed by a mammogram to get a better picture. Then the doctor said they wanted one more picture. Kate started to see other people in the office come and go and felt her nerves tense. The nurse and radiologist took her into a little room to share the news. They saw something abnormal but 16

the chances of it being cancer were so low. Kate heard them tell her, we don’t think its breast cancer but we want you to get a biopsy just to be sure.

Kate went back to work since it was the beginning of the school year. All week she mulled over the thought of having breast cancer. The following Monday she had her biopsy. The results came back on Friday and it was confirmed she did in fact have cancer. Her official diagnosis was invasive ductal carcinoma stage 3a, with lymph node involvement, her2+, er+, pr+, and grade 3, which is the fastest growing. Shortly thereafter, Kate went back to work and shared the diagnosis with her principal. A double mastectomy, the first of many surgeries, was scheduled for two weeks later. Kate was ready to fight from the beginning.

During her initial surgery 17 lymph nodes were removed, eight of which were cancerous. Kate underwent 16 rounds of chemotherapy followed by radiation. She had to go through a lot of physical therapy because she experienced cording, something that occurs as the body is repairing itself, when lactic acid can move under the skin and look like cords. It can solidify making it hard to lift ones arms.

All these struggles would be difficult on anybody. Kate says of the time, “My daughter was five months old the day I got my biopsy.

My husband was initially angry and then scared. He needed a few days to process this news before he could move forward. But my immediate reaction was, what is the plan? Let’s go. Let’s fight it.”

One of the most difficult hurdles in the beginning was telling her students she was sick. She wanted to be honest with her eighth grade class because often times when you aren’t, kids will make up stories which are crazier than the truth! She told each class about her diagnosis and was comforted when her kids wrote her letters throughout the year.

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Some of the students saw how vulnerable Kate was and really opened up. One of the boys wrote to Kate and his sentiments left a strong impression on her. His note explained, my grandfather had cancer and died. When you first told me you were sick I thought you were going to die but now I see how you’ve gotten through and you’re getting stronger. It’s changed the way I think of cancer.

Kate had a lot of support along her journey. Her family rallied to form a team at the Making Strides against Breast Cancer Walk six days after her mastectomy. On her last day of work before surgery, all of the faculty wore pink shirts that said “Team Madigan” on the front. Her family and friends cared so much about her journey that she started a blog so she could keep them all updated.

Right before chemotherapy began, Kate shaved her head because she didn’t want to watch her hair fall out. During the experience she cried and laughed. Kate decided to never wear a wig. Choosing to walk around bald throughout treatment gave her strength. She recalls getting support from perfect strangers in surprising places like the grocery store.

Chemotherapy was a challenge. The Adriamycin was so hard on her and she didn’t handle the treatment well. She was given a Neulasta shot after the treatment to boost her white blood cell count. In the two weeks between treatment, Kate spent one week in bed. She lost a total of fifteen pounds.

She credits her daughter as her motivation for making it through the treatment. A lot of people pitied Kate for having a young daughter at home while going through this, but Kate looked at it as a blessing. Josie was young enough to not know what Kate was going through but she was the inspiration for getting up each day and continuing to fight.

While Kate found being in the hospital very difficult, often seeing people in their 50’s, 60’s, and 70’s – certainly not her age – she shares that everyone from the nurses to the social workers were amazing. Throughout her treatment, Kate took advantage of many services the Graham Center would provide. In addition to physical therapy, she and her husband went to counseling.

They were new parents fighting a life threatening disease. She often times attended a spiritual wellness class for cancer patients facilitated by Sister Julian Wilson, MSFL, ACC and Michelle Bailiff, LCSW. After treatment, Kate anticipated having reconstruction and going back to life as she knew it before her cancer diagnosis. However, she ended up having a lot of issues with the reconstruction. Her breast was inflamed and she experienced muscle damage due to radiation. She spent much of 2013-2014 on IV-antibiotics. She would run them in the morning for an hour, go to work, and run them again for almost two hours. Despite many surgeries, she had to have the implant removed in June 2014 and give her body time to heal.

Kate chose to not wear a prosthesis after that. Much like going bald when she was in treatment, Kate wanted to face the world in her natural state. She felt it was a humbling experience to realize her looks weren’t important to her. Her outside didn’t feel like it matched the inside but she was healthy and felt free.

After treatment, Kate returned to work. She was able to share that lesson about her aesthetics with her students. The eighth graders were required to deal with Kate’s appearance. Kate saw this experience as a way to be a better teacher. She speaks to a health class at school every quarter about her cancer experience to educate the students. This October, Kate will attempt a final surgery to restore her implant. If it doesn’t work, she will not compromise her health for the sake of the breast.

Because Kate’s cancer was er+/pr+ she was at a high risk of recurrence. She chose to have her ovaries removed this past February to lower her recurrence risk. In her 30’s, she now has to deal with issues that post-menopausal women face. And despite all this, Kate feels blessed to have not faced a recurrence.

Kate is using her experience with cancer as a way to give back.

She recently attended a Peer Mentor Training with the Delaware Breast Cancer Coalition. Peer mentors provide one-on-one support and education to newly diagnosed patients who share a similar breast cancer journey. There are not as many young breast cancer survivors as women ages fifty and older so the Coalition is thrilled to have Kate’s help.

Today, Kate is healthy and back to work full time. Her daughter is three and now aware of Kate’s body. Josie doesn’t look at Kate’s scars and think anything of it. She sees pictures of Kate when she was bald and doesn’t question anything. She is young and full of life and love.

Kate takes an Arimidex every day and will continue to do so for the foreseeable future. She believes in keeping her whole body healthy. A lot of things she can’t control but she tries to manage what she can. She tries to meditate, keeps an eye on her stress level, and stays cognizant of what she eats by swapping fries for broccoli and buying organic meats. Every little bit helps.

Since Kate has returned to work she’s had some students who have been touched by cancer. One student in particular had a mother who passed away last Christmas. Kate specifically requested the student be placed in her class because she thought she’d be able to relate to the student.

Kate faces life head on and that makes her feel more in control.

Talking about her cancer doesn’t bring her any kind of fear. She sees it as an obligation because so many people helped her through her journey. The only way to help others is to go out and give hope and encouragement to those facing the disease. The world is lucky to have a beautiful spirit like Kate sharing her sharing her strength, wisdom, encouragement, and journey of survivorship.

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October 2015

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Th e

Art of Eati

Nutrition for Breast Cancer

By Tamar Genger RD, MA

ng

The odds are not good. According to the American Cancer Society, breast cancer is the most common cancer among women, other than skin cancer. Most people have a close friend or relative that has suffered or is suffering from it. Worse, it is also the second leading cause of cancer death after lung cancer. The only upside is that breast cancer death rates are going down. Breast cancer is a malignant tumor that develops from cells in the breast and our best defense is early detection and prevention. Cancer is mysterious and there is no surefire way to prevent it, but there are

things that will reduce the likelihood of getting breast cancer and or improving survival if you get breast cancer.

We don’t know all the causes of breast cancer, but we do know some of the risk factors. These risk factors include excess alcohol consumption, having few children and not breast feeding them, limited physical activity, and excess weight. If you are past the child bearing age, there is not much you can do about having

more children or breast feeding them, but if you are starting a family it is an extra reason to breast feed. Additionally, age, race and family history are risk factors we can not control. Therefore, it is important to improve the risk factors that can be controlled, like alcohol consumption, weight, activity and most importantly a healthy diet.

Eating a well balanced diet including at least five daily servings of fruits and vegetables is the easiest way to improve your health in general and lower your risk for cancer. In fact, vegetarians have

been found to have an overall lower cancer rate compared with the general population.

It is unclear how much lower for breast cancer specifically and so far there is no definitive link between meat or dairy consumption and breast cancer. But it is clear that increasing fruit and vegetable consumption would improve most people’s health, whether from their fiber and phytonutrients or all their vitamins and minerals.

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servings of five fruits and vegetables a day. Try adding some blueberries or strawberries to your cereal in the morning, keep some apples on your desk for a midday snack or some fruit cocktail cups in their own juice, unsweetened of course. Bring along baby carrot sticks with dip for lunch or eat soups made with a lot of vegetables like gazpacho in the summer or minestrone in the colder seasons. Five a day is easier than you think, you just have to try it.

As part of a healthy diet, soy foods have gotten a good rap for aiding in breast cancer prevention, but it seems the evidence may not be as strong as once believed. Most of the studies do not show a significant decrease in risk for getting breast cancer in those who ate large amounts of soy. Soy has been established to reduce cholesterol and thereby improve risks for cardiovascular disease, but so far there is no proof that it will protect you from breast cancer. Still moderate amounts are a good idea to include in your diet to improve overall health, especially if it is used as a meat replacement. There is some evidence that animal products have cancer causing agents. Since there is no clear evidence of soys benefits it is not recommended that people take soy supplements until soy’s role in breast cancer prevention is clearer.

In terms of alcohol consumption there is also some mixed information. While the American Cancer Society has found that people who consume more alcohol have a higher risk of breast caner especially if they combine it with tobacco, the American Heart Association states that moderate amounts of alcohol is associated with a decreased risk for cardiovascular disease. The

benefits of alcohol may be more important for those over 60 and the real key is moderation. Definitely don’t start drinking just for the benefits. But if you already drink moderately, men no more than 2 drinks per day and women no more than one, you don’t need to stop.

As a part of a healthy diet it is also important to choose healthier fats. Some studies have shown that low fat diets help prevent breast cancer. Other studies disagree, but all agree that a diet low in saturated and trans fats is healthier all around. Whether a low fat diet lowers the risk for breast cancer on its own or does so by avoiding weight gain it is clear it offers many positive health benefits. This means use olive oil or canola oil instead of butter or margarine. Eat fish and lean chicken instead of red meat. Choose skim milk and low fat cheese to replace whole milk. A few easy steps makes a world of difference.

The role of diet in breast cancer prevention has not been proven conclusively, but eating a well-balanced diet has been proven to help ensure health and longevity. Try eating more fruits and vegetables, limiting your alcohol intake and choosing unsaturated fats over saturated ones. At worst, you are improving your overall health. At best you are improving your chances of avoiding breast cancer.

Tamar Genger RD,MA is the Founder and Food Editor at Joy of Kosher, LLC joyofkosher.com . Tamar was a contributing writer with Living.Well Magazine.

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No Sniveling and Tip the Maid

by Karen Jessee

Chances are if you’re repeatedly asked to be a roommate or a companion, you’re a good traveler. That means you’re in the moment of learning and seeing something new, you’re happy with a bed and a bathroom, you’re appreciative of whatever food is tossed your way along the way, and the most important items you packed were a sense of humor, your manners and a smile.

Share. If you’re in a confined space, say a boat or train, there is always that sweet spot from which to get the perfect picture or that glorious background for that perfect “couples” shot. You are not the photographer from National Geographic. Please do not hog the sweet spot. Others are waiting to get that memory in their cameras as well. Snap and get out of the way.

Not everyone gets this.

Be mindful. Signs and guides ask that you stay on the path. If you wander off, you might be killing tiny critters and growth in an eco-system that is struggling to survive. I watched a selfabsorbed tourist squash a grasshopper under his giant sneakers as he pontificated about people being clueless.

Some expect the places they travel to provide all the comforts of their own home. They want familiarity, terrain that isn’t too hard to traverse and by golly, they’ve paid their money and every moment should be all about them. If not, let the whining begin.

I’ve organized events and bus trips and have just returned from some rigorous travel myself for a writers’ conference. I’d like to share some insights.

Register on time. You were sent a due date for registering for the trip, the meal or the event. To show up not having done this means someone is now scurrying about for extra seats or plates or both… just for you.

Be informed. Google knows everything. Look up the daily temperatures and forecasts of your new destination and look them up several times to get a good idea of what to pack. As the British would say, “There’s no such thing as bad weather; there’s just dressing inappropriately.”

Be on time. Your itinerary says the group needs to be at a destination at a particular time. Weather, roads and traffic conditions are already built into that length of travel time.

Punctuality is a good thing.

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Think. Read your itinerary carefully and read it more than once if you’re traveling with a group. Have a sense of how long you’re going to be on the bus or train or plane. Bring a book and snacks if it’s a long stretch. Complaining about this isn’t going to make the trip happen any faster.

Your guide is not your mother. The snacks and water are on the front seat of the bus. Please pick up what you need on the way to your seat. Shouting from the back of the bus for these items and expecting someone to fetch them for you is silly. So is thinking that someone is going to go to your room to fetch your suitcase for the bus or run after you because you left something behind.

Be patient. A woman grumbled that she thought her pictures were going to be boring because all the glaciers were beginning to look alike and she didn’t see any wildlife…at that moment when she and her camera needed to see some. In a wildlife preserve, a couple was on the premises for a total of five minutes when they pouted that they hadn’t seen any animals… yet. These folks either need to go to a zoo or plan a trip to Disney for those guaranteed photo ops. Some thoughts are fine just rattling around in one’s head. Not everything has to be said aloud.

Know your surroundings. You’re in a rustic brew house in a small town. Brew is what they do. Please do not order a champagne cocktail. Thank you.

Know the culture. Twice I watched a woman perform a drama equivalent to having had a snake thrown upon her plate when she discovered that fish was part of the meal. These were not fish with tails and heads intact; these were beautifully filleted salmon and haddock with sauces to die for. She was in Alaska. They eat fish there. The itinerary said these would be dinners with fish.

Both times she loudly expressed her horror, claimed she could not possibly eat this, and rudely demanded a new meal or that the offending fish be removed.

She was an embarrassment. A smile, a gentle request, and a second reach for the breadbasket would have been much preferred by everyone.

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Tip the Maid. There is nothing more wonderful in my world than to return to a room where someone has made my bed and swabbed down the surfaces. I certainly don’t get that at home. I am grateful. We tip the maid daily…not at the end of the journey when all that lingers are a few sad dollars and some loose change covered in pocket lint. It’s the sign of a good person, a good business person, and a good traveler. Tip the maid.

An opera house guest who stayed with me for a month and who had traveled the world as a director said she knew how to say “please”, “thank you”, “it’s beautiful”, and “it’s delicious” in eight languages. Those are lovely words to pack for any kind of travel; they are equally the perfect sentiments right here at home.

Karen Jessee is a professional organizer and founder of Simply Organized. She is a member of the National Association of Professional Organizers and the Philadelphia Chapter of Professional Organizers. She encourages people to simplify their lives and works with those who need to downsize and get organized. Karen helps clients make the decisions and create the systems that are best for them. She also teaches the strategies to help clients gain greater clarity, control, productivity and peace. Karen is a public speaker on these topics. Visit her website at: www.nowsimplyorganized.com www.livingwellmagazine.net

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Your No-Fear Halloween Guide to Cavities

by Dr. Andrew Swiatowicz

Over 40 million kids went

However, there are things we can do that lessen the effect of these sugars have on our teeth.

trick-or-treating last year.

That’s a lot of candy …and a lot of potential cavities!

And although treating cavities is a big part of my job, I’d prefer my patients not get them in the first place.

When food enters our mouth, it starts immediately being broken down into simple sugars. These sugars are then used by the bacteria as an energy source. As the sugars are broken down by the bacteria, acids are secreted as byproducts. This whole process lasts about 30 minutes — not from the time you start eating, but from your last sugar intake.

So let’s say you want to eat some Skittles. It would be better for you to down the entire bag at once rather than prolonging the snacking over an extended period of time. (And remember, if you’re eating sugary foods, it’s always best to do it during your meals. That way, you’re making more saliva to buffer the acid and wash away the sugars.)

The Halloween season is particularly spooky for dentists because we know just how easy it is for our patients to fall under the spell of a multibillion-dollar candy industry.

Though we’d prefer you only took your costumed kids trick-or-treating at those houses giving away toothbrushes, mine is one of those nerdy houses! and we know that’s not going to happen.

So if you’re going to risk the cavities anyway, you might as well be informed about them.

Here are

6 things you should know about cavities.

A cavity is a bacterial infection.

Basically, a cavity is just a hole in your tooth. But for that hole to form, a whole lot needs to happen in your mouth. Here is a brief rundown.

Dental caries, the technical term for a cavity, is caused by streptococcus mutans, a bacteria that we’ve all got in our mouths. As sugars enter our mouth, it’s broken down by streptococcus mutans, and secretes acid as a byproduct. This acid then starts to dissolve and soften our enamel. (The enamel, by the way, is the outer layer of the tooth, and is actually the strongest substance that our bodies make!) These soft spots provide easy routes for bacteria to enter our teeth and take up residence.

Once this happens, it becomes harder to clean off the bacteria just from brushing, flossing, and rinsing. And as long as the bacteria is there, it can continue the process of dissolving the tooth, which will eventually lead to a cavity.

Cavities are all about timing Obviously we can’t completely eliminate all sugar from our diet.

Even healthy foods, like whole grains, fruits, etc., can be broken down into simple sugars that streptococcus mutans feeds on.

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Speaking of sugar … it’s not always the enemy.

Did you know some sugars can actually be used to prevent cavities. And you thought sugar was the enemy! Let’s be clear here: certain sugars like those found in dietary carbohydrates are what the bacteria need to start the cavity process. (See #2.)

However, there are some natural sugars that can stunt and even stop the cavity process. Xylitol, found in many mints and gums, is a sugar that, when ingested by bacteria, actually prevents them from breaking down sugars into acids. At therapeutic levels two pieces, three times a day, for at least five minutes it can even kill these cavity-causing bacteria.

Sometimes we can treat your cavities without even turning the drill on.

Sure, we can drill ‘em and fill ‘em, but there are other methods we’ve got to deal with some cavities, as long as we catch them early enough.

If a cavity remains in the enamel only — what we call an incipient lesion — then we might be able to reverse that. In that case, we’ll have you use fluoride, which is found in most toothpastes, mouthwashes, and even your tap water. Fluoride is a natural and safe way to strengthen the enamel, making it harder for the bacteria to dissolve. Fun fact: the Center for Disease Control (CDC) rated fluoride as one of the ten greatest public health achievements of the twentieth century.

Some dentists are even experimenting with “no-drill fillings,” if and when they catch the cavity early enough. Here’s how: The cavity process starts when the enamel is dissolved, leaving a porous texture to that area of the tooth. This treatment uses a mild acid to

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completely cleanse that affected tooth structure, allowing a resin material to fill in the voids and strengthen the tooth. (NPR has a nice summary you can read about “drill-less fillings.” Just be sure to know that the jury is still out as to whether or not such treatments are effective.)

Upshot? Make sure you come in to see us regularly because the sooner we catch a cavity forming, the more treatment options we’ll have.

Having cavities is the most prevalent chronic disease of childhood.

Although cavities are largely preventable, they remain the “most common chronic disease of children aged 6 to 11 years and adolescents aged 12 to 19 years,” according to the CDC. In fact, kids miss over 50 million hours of school each year due to dental problems and related illnesses.

About 20 percent of children aged five to 11, and 13 percent of adolescents aged 12 to 19 have had at least one untreated decayed tooth, according to a study cited by the CDC. In a different study, the CDC predicted that by the age of 15, about 60 percent of all adolescents will have experienced dental caries. And the numbers look even grimmer for children and adolescents from low-income families.

All of that dental care really adds up! In 2009, for instance, dental expenses accounted for roughly $20 billion — almost 18 percent —

of all health care expenses for children aged five to 17.

Remember: cavities can be prevented!

I always teach my patients that their first line of defense against cavities — or, as we call them, dental caries — is prevention.

Brushing for two minutes twice a day, flossing daily, and using a mouthwash are great ways to help keep the cavities from forming.

So go out trick-or-treating, or stay home and watch a scary movie (make sure to keep off that porch light!). Just remember that whatever you do on October 31, and every other day of the year, be sure to brush and floss.

And don’t forget to see your dentist twice a year for check-ups. If you can survive Halloween, you can survive our exams we are not that scary!

Dr. Andrew Swiatowicz is owner of Swiatowicz Dental Associates in Pike Creek. A graduate of the Baltimore College of Dental Surgery, University of Maryland Dental School, he went on to complete a dental residency through Christiana Care. He is a Fellow of the Academy of General Dentistry. Dr. Swiatowicz focuses his practice on comprehensive dentistry. He enjoys treating patients of all types and ages. His clinical interests include dental implant placement and restoration, cosmetic and restorative dentistry, and treatment of occlusal issues. He can be reached at 302-239-8230

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Spirit, Inc. by Suzanne Eder

This is a true story about inner guidance, self-love…and fear.

It’s also a very personal story and I hesitated to share it. Yet I felt called to share it because, after years of working with clients who doubt their own inner wisdom, I sensed it would resonate with many. So, here goes.

speaks to us through symbols and synchronicities, through “aha!” moments of recognizing important messages when we see or hear something that stirs us or opens us or awakens us.

For several years I was very involved with an organization devoted to personal enlightenment. It was founded by a spiritual teacher who is brilliant and whose work can powerfully transform lives.

For ease in telling this story, I’ll refer to her organization as Spirit, Inc.

And that has frustrated me at times, I must admit. As much as I’ve grown through my cultivation of those other avenues of guidance – as magical and moving as exploring them has been – there are times when I just want clear, unambiguous guidance, spoken to me in clear, unambiguous words.

I became part of that teacher’s inner circle. I was featured on her website and her group calls, I served as a mentor to other students, I regularly offered classes focused on her teachings, I hosted a very successful weekend retreat that she led, and I introduced dozens of my clients to her teachings and process. I integrated her work fully into my own.

Okay, enough of the backstory. When we left off, I was fully immersed in Spirit, Inc., which had become a significant part of my now-thriving business. The little seed of unrest was tossed about on the waves of success, barely visible when it wasn’t completely submerged.

And during that time, my business grew to new levels. I was thrilled about that, of course, yet deep inside me was a tiny seed of unrest. It merely skimmed the outskirts of my awareness, though, and it was easy to ignore.

So I ignored it…for a while.

Let me pause here and share a little backstory. For years I’ve been fascinated by the idea and understanding that there is a Divine Intelligence orchestrating the innumerable complexities of our universe and our experience within it – and that we, as individuated expressions of the Divine, have personal access to that intelligence. We are loved. We are supported. We are guided.

This unfathomably great, loving, infinitely wise presence wants to thrive through us, as us.

Our job is to open to it, recognize it and let it guide us.

I’ve learned that it speaks to us through our feelings, our felt sense of yes or no about things, our intuition, our impulses, our dreams (both day and night), and our heartfelt longings. It also 26

But it rarely speaks to us in plain English.

Then one Sunday afternoon, I followed an impulse and chose to sit down and read a book instead of tackling the many items on my to-do list. I settled into my big, comfy chair and gave myself full permission to honor what, on the surface, appeared to be procrastination.

The house was quiet, I was relaxed and I found myself easily absorbed in the book. I lost track of time. It was glorious.

At one point I felt prompted to put the book down. In a matter of seconds I felt what I can only describe as a big ball of fiery energy rolling up my spine, from my sacrum all the way to the top of my head and beyond. The movement was incredibly powerful and I was literally propelled forward and upward, out of my chair to a standing position.

It was at once electrifying, ancient and awe-inspiring. I was fully engulfed in the experience and my mind was completely still.

The book, and all of my thoughts about it, had disappeared. I experienced myself as pulsating energy, awake and alive and brimming with potential.

www.livingwellmagazine.net

October 2015

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And then I heard a voice. It wasn’t a voice in the usual sense of the word; it was a fully-formed thought, a knowing, a command that simply appeared, like a genie from a puff of smoke, in my nowempty mind.

And it spoke to me in plain English.

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This is what it said: “Let go of Spirit, Inc. It is confining you.”

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As the thought made its presence known, my energy expanded even further. I was standing in my living room, feet planted firmly on the floor and arms extended to the heavens, vibrating with waves of energy from head to toe and back again. I knew with absolute certainty that this was my truth.

The guidance itself felt true and loving and filled with integrity. It was everything I’d ever asked for: clear, unambiguous guidance spoken to me in clear, unambiguous words.

And yet…I didn’t follow it. At least, not right away.

Shortly after the incredible experience had subsided, I sat in stillness to take it all in. I knew it was guidance – I really did – but a new wave was rising in me: a wave of fear. At that time, Spirit, Inc., represented almost 50% of my business. My accountant mind started reeling off the numbers and warning me of impending doom if I pulled out. It seemed ridiculous to think that Spirit, Inc., was confining me; after all, it had been a big catalyst for the expansion of my business.

I started looking for other interpretations of the message; perhaps it meant that I needed to let go of one particular aspect of my relationship with Spirit, Inc., or perhaps it meant that I needed to let go of how I was thinking about my relationship with Spirit, Inc. I worked hard to figure out how I could honor the guidance and honor the fear at the same time.

I know, it sounds crazy. How can you honor confidence and doubt at the same time? But here’s the thing: attempting to do so was the most self-loving thing I could have done. As clear as the guidance was, I had to give myself the space I needed to address the fear. I took baby steps, and they were often clumsy. I stumbled and backtracked and regrouped.

But I never forgot the guidance, and I never gave up on following it. I just gave myself time.

It took me almost a year and a half to finally, fully act on the guidance I received that Sunday afternoon. When I did, I felt a sense of liberation and peace that confirmed the wisdom of my — continued on next page www.livingwellmagazine.net

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I stood in that position until the waves of energy subsided. The experience was so extraordinary I still cannot find the words to fully describe it. It was sacred and mind-blowing and otherdimensional and absolutely, positively real. It was every bit as real as anything I normally think of as “reality.”

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— continued from previous page

choice. Within days a flood of new opportunities flowed to me, along with refreshed inspiration for my writing. I now feel at peace, optimistic and profoundly grateful.

A very tiny part of me wants to point out that, had I acted on the guidance when I received it, I could have enjoyed these incredible benefits sooner. But that part of me doesn’t yet understand that, had I forced myself to ignore the fear and act on the guidance immediately, I would have missed the whole point of opening to a loving universe.

brilliant souls I have met through my own Spirit, Inc., experience, and it will always be a part of who I am. Yet I realized that I would never be totally at peace representing someone else’s work when I’ve yet to give full voice to my own.

So the beat goes on. I continue to grow and evolve, and I’ve gained newfound respect for the power and precision of inner guidance – and for the power and purpose of self-love. Together, they’re unbeatable.

Yes, inner guidance is here to support us. But this journey isn’t about getting it “right,” right away. It’s about recognizing that, fundamentally, we can’t get it wrong. It’s about slowing down to acknowledge all the parts of ourselves, even the scared ones, and giving them space and time to be integrated into the whole of who we are. It’s about loving ourselves forward, not pushing ourselves forward.

My guidance wasn’t a threat. It wasn’t telling me to “let go…or else.” It was saying, “As good as things are, there is more for you!

Things can get even better! Let’s take this path and see how much you can grow.”

And let me be very clear: the guidance I received was for just for me, which is a hallmark of inner guidance. It’s personal. Spirit, Inc., remains an extraordinary process which serves many people in a profound way. I have been honored and expanded by the

Suzanne Eder is award-winning writer, teacher and transformational life coach, Suzanne Eder started her professional career as a CPA and enjoyed a highly successful corporate career in both Finance and Human Resources. She is a graduate of the Barbara Brennan School of Healing’s intensive four-year program in mindbody-spirit healing, and is a former fitness instructor who taught aerobics, body sculpting and yoga for 16 years. She has also been initiated in Divine Openings, an extraordinary evolutionary process which powerfully supports clients in awakening to their magnificence. Through her writing, classes and workshops she offers inspired and practical counsel in all areas related to personal growth and transformation. Suzanne can be reached at see@mysolidground.com or (302)888-2138.

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Breast Cancer: Side Effects can be helped with Acupuncture

by Dr. Kelly Brown

Breast cancer awareness month, in October, aims to increase sense of the disease each year. Early diagnosis is ideal when dealing with cancer, and this month encourages women to regularly perform self-breast exams and get mammograms. However, for those fighting breast cancer, there is more to consider. Therapies that are currently available have many side effects and fighting cancer can become even more difficult.

Cancer and Acupuncture There are records of Chinese medicine recognizing tumors as early as the 16th century BC. Currently, in Chinese hospitals, both western treatments and Chinese medicine are combined to battle cancer. Side effects from treatment can be managed with acupuncture including nausea and vomiting, decreased immunity, and joint discomfort. Also, by improving balance and proper Qi (energy) flow, the chances of spread and relapse can be decreased.

Whole Body Wellness Acupuncture promotes wellness by balancing Qi and maintaining proper blood and Qi flow throughout the body. In addition to the above listed symptoms, any side-effects of cancer treatments can be treated with acupuncture. Your acupuncturist will ask plenty of questions to determine the best course of care. Schedule an appointment today to relieve side effects of various cancer treatments or to promote well-being! Also, be sure to maintain regular check-ups and self-exams for early detection of breast cancer.

Acupuncture and Nausea Acupuncture is well-known for treating nausea and vomiting during pregnancy. It is also effective at decreasing nausea during cancer treatment. In ordinary situations, the stomach’s Qi dynamic flows downward, and in cases of nausea, it goes upward.

Acupuncture would work to normalize this dynamic and decrease nausea and vomiting. The main point for nausea is on the forearm, where a Sea-band would normally sit, and other locations for needles may be on the legs and feet.

Immunity Boosting There are many different types of Qi in Chinese medicine.

Two types that can be important during cancer treatment are the upright Qi and the defensive Qi. Upright can

also be called correct and is a combination of the Qi you are born with and that which you build after birth. Defensive Qi protects the body at the level of the skin surface.

The immune system can be compromised with cancer treatment.

Acupuncture is successful at boosting the immune system by supplementing the upright and the defensive Qi. Relieve Joint Pain Some aspects of cancer treatment can lead to pain and discomfort.

Prescription medications specifically for breast cancer, have side effects of pain. In Chinese medicine, any pain is considered Qi stagnation or lack of movement. Acupuncture is able to maintain proper movement of Qi in the channels and therefore can relieve pain. It has been found in functional MRI studies to alter the way the brain responds to pain, thus decreasing the perception of pain.

Needles are placed in the area of pain, as well as the legs and arms to ensure proper Qi flow.

www.livingwellmagazine.net

Dr. Kelly Brown is a chiropractor and acupuncturist with Pure Wellness. She received both a Doctorate in Chiropractic and a Masters in Acupuncture from New York Chiropractic College in Seneca Falls, NY. Dr. Brown is a life-long resident of DE and is glad to be back in the area serving the community. You can contact her at the office 302.365.5470 or through the website www.purewellchiro.

October 2015

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PREVENTING HIGH SCHOOL SPORTS INJURIES According to the U.S. Centers for Disease Control (CDC), participation in organized sports is on the rise. Nearly 30 million children and adolescents participate in youth sports in the United States. This increase in play has led to some other startling statistics about injuries among America’s young athletes: High school athletes account for an estimated 2 million injuries and 500,000 doctor visits and 30,000 hospitalizations each year More than 3.5 million kids under age 14 receive medical treatment for sports injuries each year.

Children ages 5 to 14 account for nearly 40 percent of all sportsrelated injuries treated in hospitals. On average the rate and severity of injury increases with a child’s age.

Overuse injuries are responsible for nearly half of all sports injuries to middle and high school students Injuries associated with participation in sports and recreational activities account for 21 percent of all traumatic brain injuries among children in the United States.

Injuries in young athletes typically result from acute trauma, overuse or catastrophic trauma. More importantly these injuries often lead to arthritic pain later in life. There are several measures that can be taken to prevent and identify these injuries. Growth is generally uneven: Bones grow first, which pulls at tight muscles and tendons.

This uneven growth pattern makes younger athletes more susceptible to muscle, tendon, and growth plate injuries.

High school athletes require sport specific training to prevent injury.

Many injuries can be prevented with regular conditioning that begins prior to the formal sports season. Injuries often occur when athletes suddenly increase the duration, intensity, or frequency of their activity. Young athletes who are out of shape at the start of the season should gradually increase activity levels and slowly build back up to a higher fitness level.

Using proper technique for the position being played is also key to preventing injury. Proper equipment—from the right shoes to safety gear—is essential. In addition, injuries can be prevented when athletes understand and follow the rules of the game, and display good sportsmanship.

Because many young athletes are focusing on just one sport and are training year-round, doctors are seeing an increase in overuse injuries.

GROWTH PLATE INJURIES

BEFORE YOU START

Teens are still growing and their bones are soft. Growth plates are areas of developing cartilage tissue near the ends of long bones.

When a child becomes full-grown, the growth plates harden into solid bone.

Warm up for at least 10-15 minutes prior to practice Stretch before & after practice and workout sessions Avoid over training Rest at least 2 days each week to allow the body to recover Vary physical activities – avoid repetitive motions Listen to your body! Do not “push through the pain.”

Injuries during these formative years can cause uneven bone growth resulting in muscle, tendon and ligament strain. Increased pressure on muscles, tendons, and ligaments can lead to growth plate and soft tissue injuries. Growth plate injuries occur in parts of the body where cartilage tissue is not fully developed & hardened into solid bone. These injuries are common in young athletes because their bodies are still growing. If left untreated growth plate injuries can lead to arthritis and bone deformities.

PREVENTION Many high school sports injuries can be prevented through proper conditioning, training, and equipment.

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Immediate treatment once an injury occurs is the key to minimizing long term effects.

The best results are realized when a team of professional that include a doctor, neurologist, & a chiropractor work together with the athlete, parents & coach to relieve the symptoms & treat the specific injury.

Concord Medical Spine & Pain Center is a rare and truly integrated facility owned & operated by Dr. Trent Ryan. Our staff receives continued education throughout the year allowing us to offer state of the art care to our patients. Concord Medical Spine & Pain Center is located at 6 Sharpley Road, Wilmington, DE 19803 and we can be reached at (302) 476-2128

www.livingwellmagazine.net

October 2015

How Those Aha Moments Are Getting In Your Way

by Joe White

I have the honor of traveling around the country, speaking at Small Business Expos. I was just in San Francisco and I women came up to me and told me she just realized that she needed more courage.

My response was, “How much more courage do you need? One unit, two?” She looked at me perplexed and then smiled. I told her to listen to my talk and see how she feels afterwards.

I gave my talk and she came up to me with a big smile and said, “I got it.” My reply was, “Oh what did you get?” Ok, I know my answers are never the ones that people want to hear but there is a method to my madness.

That I don’t need MORE courage, I must learn how to not abandon my my true core because when I am there, I am unstoppable!! I asked her, “How were you going to do that?” and she showed me a flyer to my iBreakthrough Event. She said, “I am coming to see you, I just signed up.” I was curious on what I said that impacted her so much. She told me, “It was that aha moments are not breakthroughs.”

Part of my talk was on how we confused aha moments with breakthroughs. Aha moments are great but they are moments of clarity and a breakthrough. Yes, they can lead to a breakthrough but a breakthrough is when there is such a shift and things are never the same again!

am not courageous enough. There was plenty of times in her life where she had courage but she kept asking the question of “What is wrong with me?” and her brain gave her an answer.

I was so excited for her that she decided in the moment of an aha moment to do the very important next step and that is to take a huge action step ,to attend the iBreakthrough Event and not just settle with the good feelings. It is our event, I know that this will change her life forever. She will not be the same person who walks out of the end. After 16 years of doing this, I know the results that are created but she doesn’t know. She only has faith iBreakthrough will deliver her the results she wants. This is the key component. The action step with faith. Too often we crave that certainty, we need to know it will work out. There in lies the trap. There is no certainty in things that outside of us. When we require it so that we can move forward we stay stuck in neutral.

So in the end all we are left with a new or deeper understanding of our problem without the real results we want.

Don’t take the foot off the gas when you have an aha moments or clarity. Punch the gas and go straight forward and breakthrough to the live, business, relationship, whatever you desire!

Here is the challenge. An aha moment is like awareness.

Awareness is a great step but sometimes we think that because we now see the barrier and understand it a bit better we are on the other side of it. For a longest time, the women with whom I was speaking to at the event had many aha moments. When she had one, she got excited but struggled to sustain it. This left her feeling disappointed. Eventually she started to ask herself, “What is wrong with me? Why do I keep falling back?” Her answer? I www.livingwellmagazine.net

Joe White is the President and founder of Get Life Coaching. Get Life Coaching is the leader in personal and professional development since 1999. Joe recently earned the most Prestigious Award : 2012 Entrepreneur of the year. Joe can be contacted at: 302-832-3424, or email him at: doitnow@getlifecoaching.com or check out: facebook.com/getlifecoaching Follow Joe on @getlifecoaching October 2015

31

Ingredients: Contains: Active Ingredients Inactive Ingredients

READ ALL LABELS!

T

here is no particular question this month that warrants discussion, except for learning what is happening with some of the brands of peanut butter on the market today.

Apparently, a number of peanut butter manufacturers are adding a sugar alcohol named Xylitol to the mixture. Xylitol is frequently utilized as a sugar substitute sweetener in a number of different products such as mints, sugar free gums, chewable vitamins, candy and some baking products. This is why it is so important to purchase veterinary products and not try to estimate how much your pet should get of human vitamins, for example, based on the human dose. Human vitamins can contain xylitol so you obviously would not give that to your pet. For the safety of your dog it is imperative that you READ ALL LABELS !

Xylitol is not toxic to humans but is extremely toxic to dogs. At this time, we do not know how or if it is toxic to cats. The National Animal Poison Control has no reports of xylitol toxicity in cats.

The absorption of xylitol varies among species. For example, humans, horses, and rats absorb xylitol very slowly , consequently, blood sugar and insulin levels are not affected. Dogs, on the other hand, absorb xylitol quickly, which can lead to life-threatening low blood sugar (hypoglycemia) and death. What happens is that the body confuses xylitol with real sugar and releases insulin as a result. Blood sugar levels then sharply and quickly drop causing vomiting, weakness, stumbling, tremors, lethargy, disorientation, diarrhea, collapse and seizures. These symptoms usually begin within 30 minutes of ingestion and can last longer than 12 hours.

Typically, after xylitol ingestion, vomiting is the first sign you may see. The diagnosis of xylitol toxicity is made on the history of ingestion, symptoms and bloodwork. We’ve listed the symptoms of xylitol toxicity above with vomiting being the first thing that is usually seen first. Bloodwork will show a profound decrease in blood glucose levels, an increase in blood phosphorus, a decrease in platelets (thrombocytopenia) and very frequently elevated liver enzymes. Blood clotting parameters may also be abnormal.

Dogs that develop liver necrosis (destruction of liver tissue) usually don’t survive. Liver necrosis usually shows up between 8 and 12 hours. Internal bleeding (hemorrhage) and abnormal clotting time can also result in death.

32

The toxic dose of xylitol is generally based on the amount of peanut butter ingested and the weight of the dog. The toxic dose is 0.45 grams per pound in dogs. A typical stick of gum contains between 0.3 to 0.4 grams of xylitol. That means that a 10 pound dog could be poisoned by ingesting just half a stick of gum. A 25 pound dog would have to ingest 2 ounces of peanut butter and a 50 pound dog would have to ingest 4 ounces of xylitol .

Treatment of xylitol toxicity is dependent on how much was ingested. There is no antidote for xylitol toxicity at this time. I consider reading the ingredient label on everything you give your dog to be very important. Additionally, companies that manufacture products containing xylitol can try to fool the public by utilizing other names that ingredient can be called. Xylitol

may be listed on the product label as Eutrit, Kannit, Newtol, Xylite, Torch or Xyliton. So far the following products have been found to have xylitol in them : Nuts ‘n More, Krush Nutrition and P-28.

So, in my opinion, tell every dog owner you know about this situation. It’s the only way to protect your dogs. The number of products that contain xylitol has been increasing over the past few years. This is why it is imperative that the public READ THE LABELS and all ingredients that are present in their formulation.

You could save a dog’s life.

Dr. Rose DiLeva is a graduate of the University of Pennsylvania’s school of Veterinary Medicine. She practices alternative and conventional veterinary medicine. Dr. DiLeva is a certified veterinary acupuncturist and a certified veterinary chiropractitioner. She can be reached at her Animal Wellness Center in Chadds Ford, Pa. at 610-558-1616 for appointments and telephone consultations.

Visit her web site at: www.altpetdoc.com and www.drrosesremedies.com

www.livingwellmagazine.net

October 2015

HANDS ON HEALTH by: Ann Wilkinson P.T.M.S,

Q:

A:

Plantar fascitis can be very troublesome. Keeping your weight down to keep it from being a contributing factor is challenging, however necessary. There are times the injections work miraculously. Other times, the medicine while taking it, makes you feel pain free. It seems like symptoms do return fairly often with these particular interventions because this type of treatment, at times, is not treating the cause. If the cause of symptoms stems from the low back, trigger points in the calves, There is no doubt in my mind that your old break is a major pelvic rotation, scar tissue, adhesions or fascial restrictions the player in this episode of pain in your arm presenting as thoracic treatment will need to look more like derotating the pelvis, outlet syndrome. The brachial plexus gets pinched between the craniosacral and myofascial therapy, spray and stretch, deep anterior and middle scalene muscles. Releasing these muscles tissue release. Lasers are very helpful to decrease acute and is key to relieving pressure. Yes, surgery is a release however chronic symptoms and inflammation. Changing exercise one with consequences like subsequent scar tissue. It is difficult routines and ergonomically correcting your work station can when a patient has surgical intervention and feels the same contribute to recovery. Rest alternated by stretching Yoga style after, feels good for a little while that requires further surgery and deep myofascial releases are very effective in eliminating for release of scar tissue created by the first surgery. I would pain for long term. Very good shoes with shock absorbing start with manual therapy and myofascial release to make space properties are essential. It may be necessary to get orthotics around the nerve compression. Many times, this allows me to to stop the foot from rolling or collapsing upon weight bearing lift the clavicle, to mobilize it and the joints associated with this which irritates the tendons. It is hard to release your own fascia, area of the body. By making more space when the muscles have so a good bodyworker can be your key to unlocking your foot relaxed and also making more space when mobilizing the joint, pain. we have made permanent changes with no invasive technique and than we have relief long standing. Making sure the pelvis is level, restoring neck mobility, manual traction of the arms and postural awareness and correction will ensure an ongoing good result.

I am having pain in my upper arm. After ruling out other possibilities, my doctor suspects thoracic outlet syndrome. A long time ago I had broken my collar bone. Could that be a contributing factor? Will surgery help?

A:

Q:

Plantar fascitis has been plaguing me off and on over the last few years and each episode gets worse.

I have gained weight because I cannot exercise and I feel like this makes it worse. I have had cortisone injections and medication and now am considering surgery. What is your take on Plantar fascitis?

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October 2015

33

Does Gender Equality Impact Sexual Desire?

by Dr. Dianna Palimere

With more households having dual incomes, a more balanced division of housework and child care, why do couples seem to be less happy in the bedroom instead of more happy? In the past three or four years, research studies have begun to explore how relationship dynamics, like gender equality, can affect sexual desire.

The New York Times article “Does a More Equal Marriage Mean Less Sex?” written by Lori Gottlieb (2014) garnered quite a bit of attention.

She reports a variety of outcomes from various research studies, in addition to discussions with the field’s leading couples therapists.

When Gottlieb asked Esther Perel, a couples therapist whose book, “Mating in Captivity,” addresses the issue of desire in marriage, about the role sexual scripts play in egalitarian partnerships, she explained it like this: “Egalitarian marriage takes the values of a good social system — consensus-building and consent — and assumes you can bring these rules into the bedroom. But the values that make for good social 34

relationships are not necessarily the same ones that drive lust.” In fact, she continued, “most of us get turned on at night by the very things that we’ll demonstrate against during the day.”

If we take sexual satisfaction out of the equation, couples in egalitarian relationships tend to report being happier than couples with “traditional gender roles,” where the male works outside of the house and the female works inside the house and is the primary caregiver of their children. As reported by McCarthy (2014) most couples who have emphasized an egalitarian bond report “greater marital satisfaction and security.” He adds that, unfortunately, egalitarian marriages also tend to have less sex (e.g. ten times or less per year); which results in an intimate/best friend marriage, but not a sexual marriage. This lack of sex in marriages may be part of the reason we’ve seen an increase in infidelity. Research studies over the past decade have found infidelity statistics on the rise, ranging from 15-20% among married couples.

www.livingwellmagazine.net

October 2015

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Biological anthropologist Helen Fisher conducted a study on extramarital affairs with the hope of discovering why people have affairs. She found that 56% of her male participants and 34% of her female participants said that they were either “happy” or “very happy” in their relationships. Thus, despite feeling happy (or very happy) in their relationships, they still chose to engage in extramarital affairs.

This further illustrates that one’s relationship happiness doesn’t necessarily include feelings of sexual desire and fulfillment.

The dilemma becomes one in which some partners in egalitarian relationships feel discomfort engaging in sexual scenarios with their partner that might include some form of power play, despite the fact that those encounters would be much more pleasurable for them. For example, a man who does not feel comfortable objectifying or having “erotic” sex, with a wife that he sees as his equal. In such cases, he might look outside of the marriage to pornography or an extramarital affair to fulfill those sexual desires.

If partner equality ultimately makes us feel happier in the relationship, but less fulfilled sexually, this begs the question, “How do we have relationships where we are equals outside of the bedroom, but not inside of the bedroom?” As noted by McCarthy, (2014) the answer is that most couples need to have awareness that their relational style is different than their sexual style. For example, couples can play with power exchange (i.e. dominance and submission) in the bedroom, and still be equals outside of the bedroom. It’s important

that couples learn how to communicate their sexual thoughts and feelings and share their sexual desires openly and honestly with each other. Creating space in the relationship for each to have their own sexual style allows for not only a secure, happy marriage; but a sexually fulfilling one as well.

Sexual Health and Healing with Dianna Palimere, PhD, LCSW Dr. Dianna Palimere is a Psychosexual Therapist and Licensed Clinical Social Worker.

She has been in the field of mental health for the past 14 years, dedicating the past seven years to specializing in clinical sexuality. She holds a Bachelors degree in Psychology, a Masters degree in Social Work, a Masters degree in Human Sexuality Education, and a PhD in Clinical Human Sexuality. Utilizing a holistic approach to therapy, she incorporates a variety of clinical interventions in her work with individuals, couples, and families.

She is devoted to helping people achieve sexual health and healing through her work as a psychotherapist in her private practice in Pike Creek, DE; as well as in her work with local nonprofit organizations. To learn more about her or to schedule an appointment, visit her website: www.SexTherapyInDelaware.com or email her directly at: dr.palimere@ sextherapyindelaware.com Join us on Facebook, keywords: Sex Therapy in Delaware.

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EMOTIONAL MATURITY Feels Good and Is Sustainable

by Karen Verna Carlson

“As to methods there may be a million and then some, but principles are few. The person who grasps principles can successfully select his[her] own methods. The person who tries methods, ignoring principles is sure to have trouble.”

—Ralph Waldo Emerson

Combining what I know to be good for me with what definitely feels good to me has become an organizing principle that has fostered a progressively better and better life experience. I have thoroughly researched and tested this equation over seven decades, and I’m journeying into my eighth decade banking on the sustainability of it. Finding how to feel really good while doing that which is really good for me has been an ongoing quest, although I’ve only just discovered a label for it—Emotional Maturity.

Feel Good, Do Good Feeling good doing what’s good seems like a stupidly simple obvious formula for a richly fulfilling life. I’m embarrassed to admit this is a real epiphany. In all the classes I’ve ever taught and all the healing clients I mentor, my unique focus has been to help people find deeply enjoyable ways to accomplish the good that they need and want—be it changing their physique, strengthening stamina, creating a sustainable livelihood, building self esteem, enhancing health, improving nutrition, managing time, thinking more clearly, sleeping more restfully, healing relationships to name only a few of those good goals.

Always a True Victory Emotional maturity turns any endeavor into a fulfilling experience.

Indeed, the very process of enhancing emotional maturity feels instantly gratifying, as do all true victories. The peaceful satisfied feelings I have inside about my achievements are a hallmark of emotional maturity. I don’t have to boast or show off in socially unacceptable ways. As I change for the better there may not be much fanfare and public recognition, so I savor those feelings of healthy achievement by journaling or sharing with a close friend— another demonstration of emotional maturity. Life requires change. Life demands change. That law is one that never changes.

Therefore emotional maturity is a direction we travel towards not a destination point.

Self-Renewing Process Intrinsic motivation seems built into the process of growing emotional maturity. That’s the kind of incentive that comes from within, from a sincere desire to do something of value as well as a sincere desire to do it cheerfully. Quakers use the term “leading” to 36

describe a person’s call to act in this manner. Emotional maturity is a leading to strengthen emotional maturity in a self-renewing and endlessly rewarding cyclical process. Emotional maturity begets healthy desire for more emotional maturity.

Harmonious Attitudes Developing attitudes harmonious to one’s self and to one’s environment generates good feelings—a manifestation of emotional maturity. Are you a worrier? Worrying feels terrible inside me. It fans the fires of fear and never never quenches them.

It drains my energy. It blocks my enjoyment of whatever is good right here right now. Worry tightens my muscles, grinds my teeth, panics my mind, cramps my stomach, disturbs my sleep, hurts my head and burns my eyes. Worry deludes me that I may have some control over the uncontrollable. Worry is childish, immature.

Intelligent Power I can choose to direct the power I have in more intelligent ways. I can change the worry channel to a mental program that helps me feel better and do better. A religious person turns to prayer. I can also decelerate the momentum of my catastrophizing by speaking of my worry to an appropriate human listener enumerating what corrective actions I’ve taken and what other actions I’d be willing to take that would be good and feel good, outlining a realistic timeline for those actions. I can orchestrate a strong definitive finale vocalizing a commitment, having done all I can, to refrain from further rumination while events play out. “We are here and it is now. Further than that all human knowledge is moonshine.”

(H. L. Mencken) Or as a friend from Nebraska declares, “Let the corn grow.”

Laws of Compensation Emotional maturity doesn’t indulge in self pity. Emotional maturity recognizes that there are general laws of compensation operating in all life. Rarely do our worst fears come true. And when they do, I’ve witnessed and experienced firsthand some miraculous synchronicities that soften tragedy. Emotional maturity has outgrown the childish all-or-nothing, black-or-white pronouncements in favor of a broad spectrum of in-between possibilities and probabilities.

Constructive Criticism How else in my emotional maturity can I intelligently direct the power I have? I can be sensitive to anyone under my authority like a child or employee when it is my legitimate task to correct their action. My task is to help that person do better. When the power balance is unequal I aspire to respect the other person’s dignity by acknowledging their positive qualities before requesting them to make changes. Emotional maturity is not a chronic ‘fault-finder’.

When I am on a lower rung of the power ladder, I graciously accept constructive criticism as an opportunity to improve and

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October 2015

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make appropriate adjustments. Emotional maturity is being open minded enough to listen thoughtfully to the opinions and feedback of others. I do have extra sensitive feelings and often need to mentally antidote perceived hurts with a quick reality check. Emotional maturity doesn’t expect special consideration, and assertively requests it when it may be needed.

Patience, Poise, Flexibility Emotional maturity is not impatient at unexpected delays or at the need to occasionally adjust for the reasonable convenience of other people. It endures disappointment and defeat without whining or complaining, and meets emergencies with poise.

Emotional maturity accepts the responsibility of one’s own acts, and makes amends, effectively managing negativity and anger. It is flexible enough to enjoy frequent spontaneity and reasonable enough to formulate advance plans. Emotional maturity is honestly glad when others enjoy success or good fortune, having outgrown envy and jealousy.

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One Change at a Time I am more emotionally mature in some areas of my life than in others. Meeting life’s requirement for change I work on upgrades one at a time, giving each my concentrated attention and making the process enjoyable. Sometimes I pick a behavior that’s already strong and feel great making it better. Sometimes I focus on an especially weak area and enjoy making it stronger.

If I tackle more than one change at a time or start a new change before the previous adjustment is fully seated and integrated, I lose the good feelings. There’s no hurry, and no shortage of opportunities. I’ll always practice enjoyable change. “Consider the postage stamp: its usefulness consists in the ability to stick to one thing until it gets there.” Thank you Josh Billings for that aphorism.

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I invite you to play the game of emotional maturity. There are only two rules. 1) Do what is truly good for yourself. 2) Do what truly feels good to yourself. The results are guaranteed to enrich your life.

Karen Verna Carlson, N.D., Ph.D. (Hon.) is a naturopathic physician and professor credited with “the first major breakthrough in Swedish Massage—research demonstrating energetic interconnections”—since Peter Ling systemized it in the early 19th century. After 35 years running her own nationally accredited school of holistic healing and massage she has retired to provide a new kind of holistic care for individuals and families. In addition to her specialties of healing massage and bodywork, she provides sensitive, timeand cost-effective services for home or office, family members and staff, that include diverse holistic problem solving for garden, pets, children and elders.

She has received international recognition for holistic healing and educational work, an honorary degree, silver medal, and Who’s Who listing. She’s appeared on TV and radio and has been featured in professional publications and mass media. kvc@livingwellmagazine.net Phone (302) 777-3964 www.livingwellmagazine.net

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37

Life insurance For Diabetics

by Ed Wilde

In 2012, 29.1 million Americans, or 9.3% of the population, had diabetes.

Approximately 1.25 million American children and adults have type 1 diabetes. Of the 29.1 million, 21.0 million were diagnosed, and 8.1 million were undiagnosed. The percentage of Americans age 65 and older remains high, at 25.9%, or 11.8 million seniors (diagnosed and undiagnosed).

1

Luckily, the treatment of diabetes has come a long way. The life expectancy of people with diabetes has increased significantly, and there are life insurance carriers out there who know this. They price for it. They underwrite for it. And the truth is, if you paint your picture in the right light, life insurance can be accessible and affordable.

Life insurance can fit many needs. Its primary purpose is to replace the financial consequences of an untimely or unexpected death. For example, it can be used to pay an estate tax or for the needs of dependent children. But using life insurance to help plan for your financial future often makes a great deal of sense.2 Most diabetics think they aren’t insurable, which couldn’t be further from the truth. Diabetics can find affordable life insurance, especially those who control their blood sugars well with diet or oral medications. If you were diagnosed with late onset diabetes (after the age of 50) you very well could qualify for affordable “above average” rates.

So, how does diabetes impact life insurance rates? The healthier you are the lower the cost of your life insurance. With diabetes, many factors impact your rates. The more recent the diagnosis the better, in that, over the long term, blood sugar medications harm our bodies. So someone diagnosed at age 65 with late onset diabetes is less of a risk for life insurance companies to insure than a 35-year-old who was diagnosed during adolescence.

concern: If you are compliant with your doctor, rates are usually affordable. The key is always good control and following doctors’ orders.

The following is a list of health conditions that make it challenging for diabetics to qualify for affordable rates.

History of heart disease Uncontrolled high blood pressure and/or cholesterol Nicotine use Kidney disease Vascular disease and or strokes Neuropathy in your limbs or extremities Above average life insurance rates are available for diabetics who: Control their blood sugars well with diet and/or medication Have fasting blood sugars under 100 Have A1C numbers below 7 Had late onset diabetes diagnosed after age 50.

When you look for life insurance for diabetics, consider your needs first. The best life insurance is going to protect you financially, fit within your budget, and support your long-term, Be sure that you work with a life insurance agent who understands your health issues and will look at various companies and help you “shop” for the most affordable life insurance rates for your condition.

When speaking with an agent, be prepared with details of your health history. The agent is on your team and there to help you get the best possible rate, so honesty is the best policy.

Remember, if you take care of your health, then an agent can take care of finding you affordable rates for life insurance.

If you are compliant with your doctor, rates are usually affordable.

The type of medications a diabetic takes can also impact rates.

A type II diabetic taking only oral medications is less of a risk than a type I diabetic taking insulin. And diabetics controlling their blood sugars with diet are even less of a risk than the other two. Life insurance for diabetics is ultimately like any other health

Ed Wilde, LUTCF has been in the Insurance Industry for over 32 years. Ed is licensed with many Life Insurance Carriers which enables him to find the right coverage at affordable rates for clients with various health conditions. For more information Ed can be reached 302 547 7126.

1 diabetes.org 2 www.diabetesselfmanagement.com 38

www.livingwellmagazine.net

October 2015

Madeline Tallman

My name is Madeline and I have Type 1 Diabetes... more challenging than anything I ever thought I would be doing.

When I was diagnosed 7 years ago, I was shocked. I had never heard of the chronic disease that I would have to manage for the rest of my life!

I remember the symptoms I had when I was diagnosed vividly.

Extreme thirst plagued me. I was very tired, and I could not do any physical activity without having a headache. I even lost seven pounds in less than a month.

Type 1 Diabetes is an autoimmune disease. My immune system attacked the cells in my pancreas that produced insulin. Without insulin, it is impossible to turn the glucose in my bloodstream in to energy that can be used in the cells.

T1D is rarely heard of in the world. In the U.S. there are only 1.25 million Type 1 Diabetics. It was especially hard for me in the beginning when I knew no one who would experience similar routines.

On top of what normal activities a teenager participates in, I must check my blood sugar between 5-7 times a day, count carbohydrates in everything I eat, and use an insulin pump to supply my body with the insulin it is not producing on its own.

I am very lucky to be using the technology that is available today.

Blood glucose meters were not even available until the 70’s. Even an insulin pump provides added convenience for managing the disease, as opposed to multiple insulin injections daily. I have to use a needle to change my pump site, which is similar to an IV once every two to three days.

Diabetes makes activities like driving, playing sports, and doing well in school a challenge. In order to focus on doing well and staying safe, it is exceedingly important for me to make sure I know where my blood sugars are. If they leave the healthy range I must attend to them quickly so they do not get out of control.

The management of diabetes lends itself nicely to the responsibility and maturity that I have gained. Taking care of myself like this as a 16 year old was obviously not what I dreamed of, but I have learned valuable lessons, had wonderful opportunities, and met some awesome people.

It is scary and upsetting to see the future rolled out before you.

Without a cure, I will always be testing my blood sugar and dosing myself insulin. There is always the idea of complications in the back of my mind.

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JDRF has been an amazing community for my family and me. We are able to network with other T1D families, fundraise for a cure, and hear about the cutting edge research JDRF is funding.

It seems far away, but I am hopeful that everyone involved in finding a cure, is working their hardest!

Please Support the JDRF ONE Walk on 10/25/15 (more info on p11 or visit walk.jdrf.org) October 2015

39

The Funny Things Patients Say

by Dr. Scott E. Rosenthal

I am a professional. If a patient says something funny, maybe even ridiculous, I just stand there like one of the Queen’s Guards (minus the enormous black fur hat). Well, maybe I’m not completely emotionless, but I refrain from laughing—even if it’s totally justified. I would like to share with you some of the memorable statements. Not just for your entertainment, but to shed some light on some common misunderstandings.

The below chart provides a comparison of educational requirements following undergraduate studies.

When discussing what a patient has already done, I have heard interesting references to one’s primary care physician in comparison to me. How about this one: “When I saw my regular doctor…” or “my normal doctor.” REGULAR? Hopefully they are not referring to bowel habits. Normal? No comment! Each person that made such a statement knows that I am a doctor, but may not understand how each type of doctor differs?

Chiropractors are doctors. We are not medical doctors who learned to adjust the spine as a specialty, but are doctors of chiropractic (D.C). It is taught specifically in chiropractic colleges/universities (not in medical schools). Chiropractors are licensed by the state and federal government as one of the three types of physicians (chiropractic, medical, and osteopathic).

There is also a separate state licensing board comprised of doctors of chiropractic who were appointed by the governor.

Chiropractic is separate, distinct and treats the person naturally.

Our professional has chosen to remain as the largest drug-free healing art in the world with a focus on correcting the underlying cause of one’s health condition. We observe that if balance is returned, symptoms and dysfunction can resolve automatically.

In other words, treat the person and not the symptom. This is perhaps why chiropractic patients see their pain disappear and have fewer recurrent episodes down the road as compared to those receiving medical care. 1 The extent of the chiropractic education is on par with that of a medical doctor. We are trained in primary care and are the third largest primary care health profession in the U.S. (after medical physicians and dentists). Our primary care training is not to prepare us for days of lancing boils or listening to hearts beat, but to enable us to determine if we can help or if a referral is needed and to whom. This demands knowledge of all of the body’s systems and pathologies.

40

Another one of my favorites is when I am asked, “You don’t BELIEVE in medications…right?” First off, chiropractic is a healing art based on science and is not a religion. I am a believer in medicine, but only when there is no other natural alternative. It is true that chiropractors are more skeptical about any strategy that may place too much focus on treating symptoms over addressing its causes. We also have great concern about drug side-effects, potential toxicity and the possibility of addiction/dependence.

To be fair, those patients questioning my beliefs are simply acknowledging that I prefer to find safer, non-pharma solutions— which is true! I often tell patients, “I am grateful for medications when you require them, but MORE grateful when you no longer need them.”

This next question makes me want to respond like a stand-up comedian: “Do you get adjusted by a chiropractor as well?” I once answered by telling a woman (who already displayed having a robust sense of humor): “No, I would never let one of them touch me!” She knew I was NOT serious since I couldn’t maintain a

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October 2015

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straight face. Patch Adams was right about using laughter as a healing tool, when appropriate.

I have been receiving regular chiropractic wellness care and have embraced the natural chiropractic lifestyle my entire life.

Being born into a chiropractic family has been a blessing for me on personal level (and ultimately professional). Why do I seek chiropractic wellness care when I am pain-free? The nervous system has a close relationship with the bones of the spinal column. The health and alignment of the spine is vital for the health of the nervous system and all the vital systems it controls.

For this reason, I will continue to receive spinal checkups. I am also attracted to the natural lifestyle sewn into the chiropractic fabric (which includes diet, rest, exercise, mental attitude and proper nerve function). The particular woman mentioned above was not yet educated on the inner workings of her body and the role chiropractic plays in overall health and wellbeing. She was really asking if I ever had back pain. Once she understood the big picture of health, she realized why her question was initially amusing to me.

and their properly aligned spines, my patients are certainly more “regular!”

1. Meeker W, Haldeman H. Chiropractic: A Profession at the Crossroads of Mainstream and Alternative Medicine. Annals of Internal Medicine 2002, Vol 136, No 3 2. American Physical Therapy Association. 2005-2006 Fact Sheet, Physical Therapist Education Programs. January 2007.

3.Journal of Occupational and Environmental Medicine March 14, 2011; Vol. 197 [epub]

Working with people every day is a blast! Even when they make statements that may be surprising, amusing or a little inappropriate. After all, my patients are “normal” people, though we still love those who may fall short of this classification by society’s standards. And, due to the spine-nerve-bowel connection

LIFE INSURANCE for people with diabetes and other pre-existing conditions.

Dr. Scott E. Rosenthal is a second-generation Doctor of Chiropractic and a past president of the Delaware Chiropractic Society. His undergraduate degree is in Nutrition and he is a Certified Yoga Teacher. In his Wilmington practice, he offers the cutting-edge Koren Specific Technique (KST) as well as other contemporary and traditional approaches. KST comfortably integrates gentle adjustments of the spine, cranial bones, TMJ, arms and legs (including the wrists and feet). Dr. Rosenthal specializes in pain relief, auto or work injury recovery and natural ways to boost whole body wellness. To contact Dr. Rosenthal please visit rosenthalchiropractic.com or 302-999-0633.

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41

Recipes From:

Mildred’s at Home “People who choose a vegetarian restaurant may do so for any number of reasons, be they moral, religious, dietary, environmental, or just for a change. Nowadays, vegetarian cooking really is for everyone, whether you still enjoy tucking into a steak, or prefer a completely vegetarian diet. Vegetables, fruit, legumes, nuts, and seeds have now taken their rightful place in the kitchen and have stolen the limelight.

Mildreds The Cookbook Delicious Vegetarian Recipes For Simply Everyone Recipes writers: Daniel Acevedo and Sarah Wasserman Phtographer: Jonathan Gregson Octopus Publishing Group First published in Great Britain

by Mitchell Beazley

This is one of our favorite dishes for the warmer months. It’s full of lovely fresh flavors and is great when mangoes are at their best. You can use any type of wheat or rice noodle here; just avoid egg noodles because these are best eaten hot.

Tempura Vegetables with Noodle, Mango & Cucumber Salad & Chile Dipping Sauce

To make the dressing, put all the ingredients into a mixing bowl and mix together well.

For the tempura vegetables

toasted

sunflower oil for deep-frying

2 zucchini, quartered and cut into 4-inch batons

1 1/2 cups ice-cold sparkling water 1 1/2 cups all-purpose flour, plus extra for dusting 2 eggs 1/2 teaspoon baking powder 2 1/2 tablespoons each black and white sesame seeds,

1 red bell pepper, cored, seeded, and cut into 4-inch batons 1 yellow pepper, cored, seeded and cut into 4-inch batons 2 carrots, thinly sliced

Serves 4 to 6

1/2 cup mirin juice of 2 limes 2 green chiles, seeded and finely diced 2 tablespoons Japanese rice vinegar 1/4 cup soy sauce 1/2 teaspoon brown sugar For the noodles 8oz soba noodles or rice noodles light oil

Serve the tempura vegetables alongside the noodle salad, with the remainder of the dressing in a bowl as a dipping sauce.

1 cucumber, finely diced 1 mango, peeled and finely diced 1 red chile, seeded and chopped

If you would like to make this gluten-free, substitute glutenfree all-purpose flour for the regular all-purpose flour used here. However, note that you may need to use a little more of it to achieve the desired thickness of batter.

1/2 small red onion, minced

handful of mint leaves, chopped 42

For the tempura vegetables, fill a large saucepan or deep-fryer with the sunflower oil and heat to 350°F, or until a cube of bread added to the oil browns in 30 seconds.

Put the water, flour, eggs, baking powder, and sesame seeds in a bowl and beat together briefly to form a batter (don’t overwork this; it’s fine if it is slightly lumpy).

Working in batches, lightly dust a handful of the vegetables with flour and then dip them into the batter. Fry the vegetables for about 3 to 4 minutes, or until lightly golden, remove from the pan, and transfer to paper towels to allow the excess oil to drain off. Repeat with the remaining vegetables, being sure to remove any excess batter from the pan before frying the next batch.

For the dressing

handful of cilantro leaves, chopped

Cook the noodles in a pan of boiling water following the package instructions. Transfer to a sieve and cool under running water, drain, and then stir in a drop or two of oil to prevent them from sticking together. Add to a mixing bowl with the cucumber, mango, chile, onion, herbs, and 3 tablespoons of the dressing. Mix well, then set aside.

Tempura Vegetables with Noodle, Mango & Cucumber Salad & Chile Dipping Sauce www.livingwellmagazine.net

October 2015

Black Bean Chili-Filled Baby Pumpkins with Toasted Coconut Rice

Preheat the oven to 400°F. For the black bean chili, drizzle a little oil into a roasting pan. Add the pumpkin pieces and toss together thoroughly to coat. Roast for 10 minutes. Add the zucchini and cook for another 5 to 10 minutes, or until the vegetables are tender. Set aside.

Heat a splash of oil in a large heavy saucepan, add the onion, and cook gently, stirring, for 5 minutes, until softened and translucent. Add the garlic, celery, chile, and thyme and cook for another 10 minutes, then add the tomato paste, tomatoes, sugar, cinnamon, chiles, paprika, and water and bring to a simmer. Cook for 20 minutes or so, stirring frequently, until the chili has thickened and reduced. Add the beans and cook for another 10 minutes.

Then stir in the roasted vegetables and cilantro and keep the chili warm.

Meanwhile, roast the baby pumpkins. Cut the top off of each in a neat circle. Scoop out the seeds with a spoon.

Place on a baking pan, drizzle with a little oil, and bake for 20 to 30 minutes, or until the flesh is cooked. Cover with foil to keep warm until needed.

For the toasted coconut rice, heat a drizzle of oil in a saucepan, add the chiles, and cook, stirring, for 2 minutes.

Add the rice and cook, stirring, for 2 minutes, then cover with the water. Bring to a boil and simmer for 10 to 12 minutes, or until the water has evaporated and the rice is tender. Remove from the heat, pour in the coconut milk, and set aside, covered, for 5 minutes. Stir in the desiccated coconut to finish. To serve, place a large scoop of rice on each plate, fill the warm pumpkins with the chili, and place one on each plate beside the rice.

A filling and flavorful main course packed full of bright colors to cheer up your table in the fall. You can make the chili in advance to cut down on the labor involved here and, if you can’t find baby pumpkins, you can always use the round bottom part of a butternut squash.

3 tablespoons tomato paste

Black Bean Chili-Filled Baby Pumpkins with Toasted Coconut Rice

3 tablespoons chipotle chile paste

Serves 8

1 3/4 cups water

8 baby pumpkins or winter squash, scrubbed clean

2 cups canned black beans

light oil

1 small bunch of cilantro, leaves picked

For the Black Bean Chili

and chopped

light oil

For the Toasted Coconut Rice

7oz pumpkin, cut into 1-inch cubes

light oil

1 zucchini, cut into 1-inch cubes

2 green chiles, minced

1 white onion, finely diced

1lb basmati rice, washed

3 garlic cloves, minced

1 3/4 cups water

2 celery stalks, minced

3 tablespoons coconut milk

1 red chile, trimmed and minced

1 cup desiccated coconut

2 x 14oz cans diced tomatoes 1 tablespoon dark brown sugar 1/2 cinnamon stick 2 chipotle chiles, coarsely chopped or ½ teaspoon paprika

1 tablespoon chopped thyme leaves www.livingwellmagazine.net

October 2015

In 1988 Mildred’s Restaurant opened in the then, edgy, London’s Soho, still having the look and feel of a sixty’s hippy vibe. Staying in this location for a short time, feeling the need to pursue the quest to open a restaurant that would leave that vibe behind, served good value, fresh, and colorful international vegetarian food that would appeal to everyone. Signing into a lease at a location that once was a seedy sex club, complete with an S & M Padded cell in the basement and a landlord who gladly located the rent but would never choose to eat there, lacking what the landlord expressed as “real food”. The word on the street at that time was that we would last six months. Yet despite popular opinion, it turned out that there were a lot of people who were looking for a restaurant such as Mildred’s, and soon became a popular fixture in Soho. After 12 years Mildred’s had grown out of space and needed to make yet another move to a larger location, accommodating a full functional kitchen, a bar, and a private dining room. Mildred’s had grown up.

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— continued from recipes This is a twist on the classic, with apples and ginger cutting through the sweetness and adding extra layers of flavor to this much-loved dessert. This pudding works particularly well with gluten-free flour, though you’ll get exactly the same results with regular all-purpose flour if you don’t have any gluten-free flour. If you like a straightforward sticky toffee pudding, simply omit the ginger and apples.

Apple & Ginger Sticky Toffee Pudding

Apple & Ginger Sticky Toffee Pudding Serves 8 to 12 10oz dates 1 ¼ cups boiling water 4 crisp apples, such as Winesap or Cortland, peeled and cored 2 to 3 pieces preserved ginger in syrup 1/4 cup butter 1 3/4 cups dark brown sugar 1 teaspoon vanilla extract 5 eggs 2 1/2 cups gluten-free self-rising flour or 2 1/2 cups all-purpose flour sifted with 2 1/2 teaspoons baking powder 1 teaspoon baking soda 1 teaspoon baking powder 1 teaspoon ground ginger whipped cream, to serve (optional) For the toffee sauce 1 stick butter 2 cups dark brown sugar 1 tablespoon vanilla extract 1 tablespoon preserved ginger syrup ½ teaspoon lemon juice 1 1/4 cups heavy cream Preheat the oven to 375°F and line a 12 x 9-inch baking dish with nonstick parchment paper. Add the dates to a bowl, cover with the boiling water, and let soak.

For the toffee sauce, put all the ingredients except the cream into a saucepan and gently simmer for 5 minutes, stirring occasionally, until the sugar has dissolved and the mixture is a deep caramel color. Stir in the cream and cook for another minute. Remove from the heat.

44

Cover the bottom of the prepared pan with a thin layer of the sauce.

Cut two of the apples into thin rounds and use these to cover the bottom of the dish. Drizzle them with a little more toffee sauce and set aside the remainder (you should have about half left). Coarsely chop the remaining apples, add them to a food processor, and pulse to small pieces. Remove and set aside. Put the dates and water in the processor with the stem ginger and blend into chunky pieces.

Cream together the butter, sugar, and vanilla extract in a bowl until pale and fluffy. Beat in the eggs one at a time until fully incorporated, then fold in the date mixture. In a separate bowl, mix together the flour, baking soda, baking powder, ginger, and apple pieces. Fold the egg and date mixture into the dry mixture and pour into the dish.

Bake for 35 minutes, or until evenly risen and a skewer inserted into the center comes out clean. Remove from the oven and let cool for 5 to 10 minutes.

Meanwhile, warm the remaining toffee sauce in the microwave or a small saucepan over low heat. Invert the pudding onto a plate and serve with the warmed toffee sauce and whipped cream, if liked. www.livingwellmagazine.net

October 2015

Jurdy Green

by Jenifer Jurden.

Jurdy focuses on engaging humans worldwide on the topic of green and helping them to “get grinning, get greening.” See Jurdy now at two websites!: www.jurdygreen.com and www.jurdy.com

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October 2015

45

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October 2015

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