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WOMENSINC.NET

WINC. J U LY 2 0 1 7

CONWAY

EXPLORING HEALTH, DISCOVERING WELLNESS

UROLOGY Focuses on Treatment, Screening & Prevention

Salads Summer NestledAmong the Trees ENTERTAINING OUTDOORS The of

Local Therapists Answer Questions About Mental Health

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CONTENTS 6 CONWAY UROLOGY

Focused on screening and prevention

18 SALADS OF SUMMER Favorite go-to salads for summer

28

J U LY 2 017 WOM EN ’ S IN C .

WINC. Editor Lori Quinn

12 LOCAL THERAPISTS Q&A about counseling and mental health assessments

Contributing Writers Jeanette Anderton Leah Ashby Cindy Beckman Detra Clark Marisa Hicks Colleen Holt Nancy Jackson Andrea Lennon Jill McCollum Susan O’Keefe Jennifer Stanley Jenny Strange Kelly Sublett Chief Photographer Brandy Strain

26 EATING BETTER

Advertising Sales Director Betsey Barham

A diagnosis of “prediabetes” was a wake-up call to change eating habits

38

Art Director Robin Stauffer Advertising Sales Executives Crystal Geraldson Sara Grady Leigh Anne Gray Cortney Askins Advertising Artists Jay Prince Lauren Morgenstern Amanda Loggins

OUTDOOR SPACES

The natural and relaxed feel of a home nestled in among the trees

ARKANSAS SHAKES Events and Arts Calendar

44

COOL PETS

Keep your pets safe during summertime activities

iMATTER

45

Rodeo Queen Assists Beyond Boundaries

columns 40. book review Animal, Vegetable, Miracle Susan O’Keefe review 4 WOMEN’S INC. / JULY 2017

52. spiritual

Making Wise Choices

by Andrea Lennon

Editorial Advisory Board Leah Ashby Jenny Cabantac Ayisha Canant Detra Clark Alyson Fish Nicolle Fletcher Haley Crafton Fowler Sarah Frost Mary Harlan Nancy Jackson Cate Ketcheside Leslie Kostecky Caroline LaVan Velda Lueders Christina Munoz Madsen Candace Meeks Misty Morse Carol Patty Amy Reed Lanette Rogers Mary Margaret Satterfield Jennifer Stanley Katherine Thomason Stefanie Holt Vann

Questions or Comments?

Call (501) 327-6621, e-mail: WINC@thecabin.net or write to P.O. Box 969, Conway, AR, 72033 • www.womensinc.net

cover stor y

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CONWAY UROLOGY

CONWAY

UROLOGY From left to right: Jeffrey B. Marotte, M.D. Christie Dumboski, A.P.R.N. Shawn Clawson, A.P.R.N. James H. France, M.D.

By Jennifer Stanley Photos by Brandy Strain

Conway Urology has treated local residents since 1987. The practice was founded by D. Craig Shirley, MD. James H. France, Jr., MD joined the practice in 1995.

As Conway and its surrounding cities grew exponentially, so did the demand for urology care. In July 2000, the clinic moved into its current facility at 495 Hogan Lane in West Conway.

In 2004, Shawn Clawson, APRN, joined the staff, followed by Jeffrey B. Marotte, MD the following year. This year the practice was thrilled to add M. Christie Dumboski, APRN.

The Staff

James H. France, Jr., MD earned his bachelor’s degree from the University of Arkansas at Fayetteville and his medical degree at the University of Arkansas for Medical Sciences (UAMS) in Little Rock. After graduating, Dr. France began his career in pediatrics at Arkansas Children’s Hospital. His interests turned to the surgical field, and he completed his post-graduate work at St. Mary’s Hospital in Waterbury, Connecticut. His interest in surgery led him to pursue urologic surgery at the University of Nebraska Medical Center.

Dr. France is board-certified by the American Board of Urology, is a fellow of the American College of Surgeons, and is a member of the American Urological Association, the Arkansas Urologic Society, and the Arkansas Medical Society.

Jeffrey B. Marotte, MD completed his undergraduate studies at Hendrix College and his medical degree at UAMS. Dr. Marotte completed his internship in surgery at the WWW.WOMENSINC.NET 7

“Many people think of urology as specialization in men’s health; however, we treat many female problems. I think being a female in this practice provides me with the ability to really connect with our patients, especially when it is a very sensitive subject matter.”

—Shawn Clawson Shawn Clawson, APRN (left) and Christie Dumboski, APRN (right) focus on the various urologic health issues that their clients are facing. They help them with treatment, screening and prevention.

8 WOMEN’S INC. / JULY 2017

Melany Forsberg, Conway Urology office manager, assists patients and staff at the clinic.

University of Tennessee Medical Center at Knoxville. He began his residency at the University of Tennessee Medical Center and transferred to Stanford University to complete his residency training in urology.

Dr. Marotte is certified by the American Board of Urology and is a fellow of the American College of Surgeons. He is a member of the Society of Government Urologists, the Society of Laparoscopic Surgeons, and the American Urologic Association. He serves as a board member for the Arkansas Urologic Society and is actively involved with the Arkansas Prostate Cancer Foundation. Dr. Marotte has admit privileges at Conway Regional Medical Center, CHI St. Vincent Hospital - Morrilton, Arkansas Surgical Hospital, River Valley Medical Center, and Central Arkansas Surgical Center in Russellville.

Shawn Clawson, APRN received her Bachelor of Science in Nursing from the University of Central Arkansas. She went on to complete her Master of Science in Nursing at UAMS. Shawn served as a registered nurse for Conway Regional Health System before joining Conway Urology. She is certified as a Family Nurse Practitioner by the American Nurses Credentialing Center and WWW.WOMENSINC.NET 9

certified by the American Nurses Credentialing Center as an Adult-Gerontology Acute Care Nurse Practitioner. She is a member of the American Nurses Association and the Arkansas Nurses Association. Christie, a Conway native, graduated from Conway High School in 1992. She resides in Conway with her husband, Scott, and their three children.

The Practice

Conway Urology staff and physicians

is board-certified by the Certification Board for Urologic Nurses and Associates. She is an active member of the American Urologic Association and the Society of Urologic Nurses and Associates.

M. Christie Dumboski, APRN joined

Conway Urology in February 2017. Christie received her bachelor’s degree from the

10 WOMEN’S INC. / JULY 2017

University of Central Arkansas in 1996 and returned to the University of Arkansas at Little Rock to complete a Bachelor of Science in Nursing in 1998. She graduated from UAMS in 2016 with a Master’s Degree in Adult/ Gerontology Acute Care.

Christie served as a registered nurse at Conway Regional Medical Center for 14 years prior to joining Conway Urology. She is

Conway Urology evaluates and treats all urological issues with the most up-to-date technologies. “We have a CLIA-certified laboratory onsite and are able to process most lab tests for quick reporting of results. For those tests we are unable to process, we have partnered with several testing facilities and can usually get results in two to three days.” Some of the most common adult conditions treated include: BPH (or enlarged prostate) Prostate cancer Urinary incontinence Bladder control problems Hematuria (blood in the urine) Bladder cancer Recurring urinary tract infections Kidney and ureteral stones Kidney cancer Pelvic organ prolapse, including cystocele, rectocele, and vaginal vault prolapse Vasectomy and vasectomy reversal Low testosterone Erectile dysfunction Peyronie’s disease

Female-Specific Care

For women, the most common urologic concerns are urinary incontinence and recurrent urinary tract infections. Conway Urology offers several treatments, including oral medications, Botox, InterStim therapy, and surgical intervention. They also provide urodynamic testing that examines how well the bladder, sphincters, and urethra are storing and releasing urine and helps determine the best treatment options.

Christie explains that kidney and ureteral stones are commonly treated in all genders.

“Women become involved in men’s health for many reasons: They often make healthcare decisions in their families. They tend to know the most about the family’s health and the insurance plan/coverage, and men’s health affects their own health, sexual activity, and stress. Women often take on the role of caregiver for their partner, often scheduling the doctor’s appointment and being the recognizer of symptoms. Women tend to be active about prevention and treatment. Many women become experienced healthcare consumers through years of pelvic examinations, as well as through taking children to the pediatrician.

The first step in learning male health is to be aware of common male feelings of concern, embarrassment, and, above all, invincibility.”

Shawn adds, “I have been a urologic nurse practitioner at Conway Urology for thirteen years. Urology focuses on the genitourinary system. Many people think of urology as specialization in men’s health; however, we treat many female problems. I think being a female

in this practice provides me with the ability to really connect with our patients, especially when it is a very sensitive subject matter.

Patients have a choice to see a female provider if it helps them be more comfortable. A great number of women suffer from urinary incontinence and think it is something that comes with age that must be lived with. There is help for this. I enjoy treating incontinence and

helping these ladies get back to their everyday activities. We treat a variety of problems, such as kidney stones, urinary tract infections, erectile dysfunction, and low testosterone. We focus on screening and prevention.”

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feature story

Local Therapists Answer Questions About Mental Health

From left to right: Detra Clark, Kim Dielmann, Ayisha Canant, Wendy Blackwood Photos by Brandy Strain

12 WOMEN’S INC. / JUNE 2017

MENTAL HEALTH

Q. Many people may consider counseling at some point but are unsure for many reasons.

They may wonder what counseling can offer, how to get started, what the options are, and what to expect. What would you say to someone in that situation?

A. First, we are in a community with many great

options for mental health services. Counseling services, like other medical fields, have made many advances.

Historically, people may have only sought out mental Ayisha Canant, PhD health treatment for severe symptoms. However, now Owner people seek healthcare services in a more preventative Conway Counseling & Wellness way with greater access to a wide range of treatments.

Center For example, a person experiencing stress from work may then notice physical problems such as headaches or sleep disturbances. For many, work stress then follows the individual home and effects their family life and can lead to unhealthy coping such as increased alcohol use or other types of issues. Today this person has a variety of options for services that can be individualized, many of which are covered by insurance. For instance, at our practice we offer stress management classes, individual yoga, massage therapy and counseling for individuals, couples and families.

All practitioners have at least a master’s degree, are licensed in Arkansas, and have additional specialty training. To get started the person just calls the office and schedules an initial assessment. A referral from a doctor is not necessary, but we do work with the family physicians when appropriate. During the phone call the person is matched with a practitioner in their insurance network, as well as the best on staff for their concerns. During the assessment with their practitioner, a plan is put together to best help the client reach their wellness goals. We have many clients who have a therapist for individual and/or family sessions, see another therapist for individual yoga, attend stress management classes, and/or get a massage. Life is full of stressful situations as we all juggle so much, and we want people to know there are a lot of options to help get back in balance.

“Historically, people may have only sought out mental health treatment for severe symptoms.

However, now people seek healthcare services in a more preventative way with greater access to a wide range of treatments.”

—Ayisha Canant, PhD

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Q: What helps a client to have a successful outcome with their therapy?

A: A successful outcome or experi-

ence with therapy looks different for every client. For some, it’s being able to share openly with another person their story, their hurts, and their shame. For others, it’s being brave enough to make the call and show up for their appointments. For most it’s finding the courage to work through the problem or the emotion that brought them to treatment to begin with. The bottom line for successDetra S. Clark, LCSW, ful therapy is the bond that exists Licensed Clinical Therapist between the therapist and the client.

Detra Clark, LCSW, LLC This is achieved by the therapist consciously honoring and affirming each client for who they are, their strengths, and where they are in their process.

The following are a few key components that are instrumental in fostering a successful therapeutic experience: • A safe environment in which the therapist maintains a respectful collaborative approach.

• Remain committed to the process. Do not stop showing up because it’s hard, frustrating or scary.

• Speak your truth. Be honest. Be okay with owning your hurts.

• Use the hour to practice doing what is best for you.

• Don’t be afraid to tell your therapist what is or isn’t working for you in the treatment process. Not every approach works for every client.

• Practice what is learned in treatment. Knowledge without application hinders progress.

Q: As a therapist in private practice, what is one of your specialties?

A: In addition to working with

relationship, behavioral, and mood issues, I work with many clients who have experienced a trauma either recently or in the past that is affecting their life in a negative way.

Q: What is trauma?

A: Trauma is when a disturbing

event occurs; it can get stuck in the brain, with the original picture, Wendy Blackwood, MS, LPC-S, sounds, thoughts, feelings, and body NCC, DCC sensations. Once it gets locked in Healing Path Counseling there a reminder can trigger the original experiences. A trauma may be major such as a tornado, flood, car accident, parents divorcing, the death of a loved one, a painful breakup. The event can be personally experienced, seeing it happen to others, or hearing about it happening to others. It can also be experiencing repeated exposure to traumatic events, i.e. (firefighters, EMTs, police, medical professionals, and mental health professionals).

People who have experienced a trauma may experience nightmares, be startled easily, have excessive worries, more tearfulness, irrational fears, numbing and sleep disturbance. During a traumatic event these experiences are expected, however later they are symptoms which may interfere with everyday tasks and relationships.

Q: What techniques do you use to work with trauma?

A: One of the techniques I use is Eye Movement Desensitization

Reprocessing (EMDR). EMDR helps your brain’s memory network to process in a very natural way. EMDR seems to unlock the nervous system and allow your brain’s natural mechanism to work through the experience. This is similar to what happens in REM sleep (dreams): Both sides of the brain are activated by using eye movements, taps, or tones that may help unlock the stored disturbing material. It is your own brain that will be doing the healing and you are the one in control.

The memory tends to change, losing its painful intensity and becomes a neutral memory of a past event. Associated memories may also heal at the same time. Linking related memories can lead to rapid and dramatic improvements in many areas of life.

EMDR has been used successfully to treat Post-Traumatic Stress Disorder (PTSD), anxiety, panic attacks, depression, stress, phobias, sleep problems, complicated grief, addictions, pain relief, and selfesteem. The process is usually experienced as something that happens spontaneously, and insights arise naturally from within. Most people experience EMDR as natural and very empowering.

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Q. Since therapists and psychiatrists can diagnose mental health disorders, what reasons would someone have for seeking psychological assessment?

A. Typically, we are not the first

line of defense in treatment. Our referrals come from therapists, psychiatrists, primary care physicians, schools, and even parents. These individuals are typically confused by a person’s lack of progress or Kim Dielmann, Ph.D., adverse effects to medication. Rather Licensed Psychologist than continue treating the same Clinical Director/Owner Conway Psychological Assessment problem with poor results, they Center want a comprehensive assessment for differential diagnosis to see if something has been overlooked. Our approach is to consider all other possible diagnoses or issues that may be contributing to the symptoms of concern, because many disorders have overlapping symptoms.

We receive referrals from physicians who want confirmation on a diagnosis before prescribing medication. Many physicians, especially those who treat children, do not want to prescribe without first having an evaluation conducted. We appreciate providers who do their due diligence when treating patients with mental health concerns. They do not assume they know everything about mental health disorders and they are willing to take a step back and have us take the time to find the missing pieces to the puzzle.

Additionally, we conduct assessments for schools to determine if a child needs additional support in the educational setting. Parents contact us for evaluations before beginning treatment for their children so they can be sure the treatment is appropriate for the problems identified.

Much of the time, adults have struggled for years in their relationships and jobs, and they just want to know if there is a name for the patterns in their behavior. Our goal is help individuals, therapists, physicians, and family label the problem correctly, so treatment can be fast and effective.

“Don’t be afraid to tell your therapist what is or isn’t working for you in the treatment process. Not every approach works for every client.”

—Detra S. Clark, LCSW Licensed Clinical Therapist WWW.WOMENSINC.NET 15

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Live a Day in Carrie Bradshaw’s Shoes

“I’m not afraid of heights... have you seen my shoes?” –Carrie Bradshaw But isn’t this why we love Sex and the City? Don’t we watch it to live vicariously through her New York life that almost no one really has? Carrie’s life is so utterly fabulous, and seeing her strut down the street, I am able to indulge in fantasy and imagine myself in her Manolo Blahniks. Sex and the City wasn’t merely a show on HBO - it was our bible on love, life, and the pursuit of fabulous shoes. Let’s take a trip down memory lane to review the greatest style lessons Carrie Bradshaw taught us all.

5. The higher the heel the closer to heaven.

“I like my money right where I can see it... hanging in my closet.” –Carrie Bradshaw

Sure, years have passed and trends have come and gone, but there are plenty of reasons we will look to Carrie as our style inspiration forever. Why wouldn’t we take fashion advice from the woman who said, “Maybe the best any of us can do is not quit, play the hand we’ve been given, and accessorize the outfit we’ve got.”

1. Your wardrobe counts as a liquid asset.

2. Running to a sale counts as exercise.

I dream of living a New York life like Carrie Bradshaw’s. My days would look something like hers : traipsing around Manhattan in skyhigh heels, going to fancy soirees with all my friends, and drinking Cosmos with celebrities on the reg. Let’s just say my life does not look at all like an episode of Sex and the City. I walk around in comfortable shoes, rarely have a celebrity sighting, and I have never once worn tulle. I do however occasionally get to drink a Cosmo at Mike’s Place in downtown Conway.

“Shopping is my cardio” –Carrie Bradshaw

3. Never apologize for unconventional outfit choices.

“You shouldn’t have to sacrifice who you are just because somebody else has a problem with it.” –Carrie Bradshaw

4. Never compromise your taste. If you want to dress up to go to McDonald’s, by all means do it.

“I’d like a cheeseburger, large fries, and a Cosmopolitan.” –Carrie Bradshaw

“I’m not afraid of heights...have you seen my shoes?” –Carrie Bradshaw

6. A Tide pen can be a girl’s best friend.

“I will never be the woman with the perfect hair who can wear white and not spill on it.” –Carrie Bradshaw

7. Trends are fleeting; friends are forever.

“They say nothing lasts forever; dreams change, trends come and go, but friendships never go out of style.” –Carrie Bradshaw

Renee Notto, owner of French Lily, has worked retail her entire life. She managed The Limited, American Eagle Outfitters, and Gymboree. Before opening French Lily, she was office manager for Notto Chiropractic Health until she realized a desk job was not a good fit for her.

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food

Salads Summer

The of

By Leah Ashby and Linda Mars Photos by Brandy Strain

We asked our friends to send us their go-to summer salad recipes. These light and fresh salads make for perfect side dishes, as well as main courses, and are easy to make. Here are four delicious summer salads for your next get-together. Enjoy!

18 WOMEN’S INC. / JULY 2017

THE SALADS OF SUMMER

From left, clockwise: Tzatziki Pasta Salad (inset), Pesto Chicken Salad, Black Eyed Pea Salad, and Watermelon, Feta & Mint Salad

WWW.WOMENSINC.NET 19

Tzatziki Pasta Salad Ingredients

I originally made this pasta salad for a friend who loves Greek food and Tzatziki. It was so good it has become my go to for get-togethers. It is easy to make, and most ingredients have grocery store pre-made versions when I am in a rush for time.

– Leslie Kostecky

20 WOMEN’S INC. / JULY 2017

1 jar artichoke hearts 1 cucumber (small) 2 tablespoons dill 1 clove garlic 1/4 cup red onion 1/4 cup sun-dried tomatoes 2/3 cup kalamata olives 1 teaspoon lemon juice 1/3 cup mayo 12 ounces penne pasta 1/4 teaspoon black pepper 1/4 teaspoon kosher salt 2 tablespoon olive oil 1 teaspoon red wine vinegar 3/4 cup feta cheese 1 (7 ounces) plain greek yogurt

Instructions

Stir together greek yogurt, mayo,1/4 cup feta, garlic, red wine vinegar, lemon juice, salt & pepper and olive oil.

Combine pasta, artichoke hearts, olives, sundried tomatoes, cucumbers and red onion.

Pour dressing over mixture and toss to coat.

Sprinkle 1/2 cup feta cheese and fresh dill on top.

Refrigerate until ready to serve.

Watermelon, Feta & Mint Salad Ingredients

4 cups fresh, seedless watermelon, chopped or sliced ½ cup feta cheese, crumbled ¼ cup fresh mint, finely chopped 1/8 cup fresh basil, finely chopped Juice of one lime Drizzle of good olive oil

Instructions

Combine all ingredients in pretty bowl and serve.

Feeds two people.

I originally got this recipe from my neighbor, Sue Hines. I never thought the ingredients would work together, but it’s always a treat at brunches and easy to prepare for the lake.

– Fonda Stone

Black Eyed Pea Salad Ingredients

3 tablespoons red wine vinegar 2 tablespoons vegetable oil (I use olive or avocado oil) 2 tablespoons Louisiana Hot Sauce 2 tablespoons fresh chopped cilantro 1- 2 fresh garlic cloves ½ teaspoon salt 2 cans Bush’s blackeye peas rinsed 1 medium purple onion (diced) 1 medium tomato(diced) 1 green pepper (diced)

Instructions

Whisk first 6 ingredients in a large bowl.

Add blackeye peas, onion, tomato and green pepper.

Cover and chill at least 3 hours.

My dear friend, Debbie Stoner, made this for me when I visited her in Jonesboro. It is our go-to cold salad. Debbie serves it with marinated pork tenderloin and smoked chipotle scalloped sweet potatoes. – Lisa Winbourne

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Pesto Chicken Salad Ingredients

½ cup packed, fresh basil leaves 1 tablespoon chopped, fresh parsley 2 garlic cloves 1 tablespoon freshly squeezed lemon juice 1 cup mayonnaise Salt and pepper to taste 3 ½ cups cooked chicken, cubed 10 crisp, cooked bacon slices, crumbled

Instructions

Process basil, parsley, garlic, lemon juice, mayonnaise, salt and pepper until smooth.

Combine Chicken and bacon in large bowl, turn dressing over meat and blend well.

Serve on croissants.

“This chicken salad is my boys’ favorite chicken salad, probably because of the bacon. They brag about it to their friends and ask me to make it every summer when the see that my batch of basil is coming along nicely. The first time I served it them they were little, and they were quite skeptical of the color of the salad (it comes out green). After the first taste, they were hooked.”

- Maret Wicks 22 WOMEN’S INC. / JULY 2017

Conway residents Leah and Linda are longtime friends who love entertaining family and friends. Leah is a business analyst at Acxiom Corporation, and Linda is a Registered Nurse at Circle of Friends Clinic at Arkansas Children’s Hospital.

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shopping

HEALTHY ALTERNATIVES from Liz’s Health Market 508 W Oak Street in Conway

Sovereign Silver colloidal silver mist spray $14.99

Dr. Ohhira’s probiotics $59.99 Bragg apple cider vinegar $7.77

Breton gluten free flax crackers $3.59

Veriditas assorted essential oils $10-$20

24 WOMEN’S INC. / JULY 2017

Barlean’s Environmental Detox (melon shake) cleansing from everyday toxins $49.99

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Terry Naturally Curamin (turmeric capsules) $24.99 Tree of Life black cherry extract $13.59

Garden of Life raw organic protein powder $45.29

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SALE DAYS Everyday 10% discount for students Wednesday 10% discount for seniors 55 and up Thursday 15% discount on gluten-free/wheat-free items 1st Monday of the month 20% discount on supplements WWW.WOMENSINC.NET 25

health

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Conway Woman’s Example Part of Local Efforts to Improve Health INSURANCE CHANGES TO OPEN WINDOW FOR PREDIABETES CARE

Maria Jarrow (right) and Kelly Batte, a registered dietitian and diabetes educator with the Conway Regional wellness program, discuss the importance of managing plate portions in a healthy eating plan.

Maria Jarrow of Conway developed some unhealthy eating habits as she tried to cope with the loss of family members a few years ago. She became an emotional eater.

As her weight grew, she tried a number of diets with little success. “I could tell Oprah that I have done more diets than she has,” Maria said. “I knew what to do, but I was a yo-yo’r. I had developed an attitude that I was never going to lose weight.”

As Maria neared age 60, her family doctor told her she would soon have to take medication for her health.

She had an epiphany. “I decided I had to do something,” she said.

Maria joined a wellness support program for employees at Conway Regional and has begun to take back control of her life by following practical suggestions about shopping for healthy food without “going broke,” reading food labels for sugar and sodium content, following healthy 26 WOMEN’S INC. / JULY 2017

recipes, meal planning and exercises that can be done while at work. The support program is led by a medical doctor, dietitians and nurses in the Conway Regional Diabetes Self-Management program. “They gave me a lot of common sense advice that I could follow,” she said. “The meal preparation was a huge thing because it helps me avoid temptation.”

Now Maria can be seen reading food labels in the grocery store and using her phone to check ingredients, doing exercises in the file room of the Mammography area where she works, and getting improved checkups at her doctor’s office.

Unfortunately, all efforts to improve health are not as successful as Maria’s.

In fact many people don’t know they are in trouble at all. The Centers for Disease Control and Prevention (CDC) project that more than one in three people in the United States have

prediabetes, about 86 million people. Nine out of ten of those people do not know they have it.

The CDC offers a survey that measures risk level for prediabetes based on answers to questions about gender, age, a combination of weight and height, family history, blood pressure, gestational diabetes and activity level.

It can be found at www.cdc.gov/diabetes/ prevention/pdf/prediabetestest.pdf A diagnosis of prediabetes means that your blood sugar level is higher than normal but not yet high enough to be diagnosed as type 2 diabetes. In the past, physicians have called it border line diabetes.

A family doctor can determine if a patient has prediabetes by conducting a fasting plasma glucose test, an oral glucose tolerance test and/ or a Hemoglobin A1C test. The most definitive test is the A1C test which shows average blood sugar levels for the past three months.

Results are: Normal: 5.6% or less Prediabetes: 5.7 to 6.4% Diabetes: 6.5% or above “A wellness lifestyle is the key to a long, happy life and it is up to each individual, not modern medical technology. Eighty percent of all chronic diseases are caused by lifestyle choices which include the quality and quantity of food, lack of physical activity and use of tobacco,” said William Furlow, MD, medical advisor to the Conway Regional Diabetes SelfManagement Program.

Without positive lifestyle changes, people with prediabetes are very likely to progress to type 2 diabetes. For people with prediabetes, the long-term damage of diabetes — especially to the heart, blood vessels and kidneys — may already be starting, according to the Mayo Clinic.

“The earliest intervention provides the greatest opportunity to stop the diabetes process.

Most people do not know that the average person with pre-diabetes may have already lost 40 percent of the function of their pancreas,” said Rhonda Tosh, a certified diabetes educator and lifestyle coach who coordinates the Conway

PREDIABETES CARE

Regional Diabetes Self-Management program.

The pancreas is the gland that makes insulin.

Medicare Changes

In January of 2018 Medicare will begin covering prediabetes treatment provided by CDC recognized diabetes prevention programs as the nation rushes to slow the increase in diabetes cases, Tosh says. Medicare is the insurance standard bearer so other insurers are likely to follow.

“Thankfully, Medicare is recognizing that prevention of diabetes is going to be a better plan for our country than treating patients once they have already been diagnosed,” said Greg Kendrick, MD, Medical Director for the Conway Regional Diabetes Self-Management program.

He added, “Eating the typical American diet is a big risk factor for diabetes. The best tool we have is education of the population about healthy eating and exercise plans. If we can get people to understand how the choices they are making are affecting this disease state, we can prevent a large number of diabetes cases.”

In 2016 Conway Regional became the first diabetes management program to begin a two-year long certification process required by the CDC for official diabetes prevention program status.

The State Diabetes Advisory Council and the state Department of Chronic Disease have awarded the Conway Regional Diabetes Self-Management program the state’s Trendsetter Award for work to establish a diabetes prevention program. The Trendsetter award is the state’s award for chronic disease prevention and treatment.

Tosh credits the award to the work of a team of healthcare professionals at Conway Regional, including Janelle Williamson, a registered dietitian and certified diabetes educator; Brenda Turner, a registered nurse and certified diabetes educator; Ashley Cornett, a registered dietitian and diabetes educator; Kelly Batte, a registered dietitian and diabetes educator; and Drs. Furlow and Kendrick. “This recognition could not have been achieved without the diligent and inspirational care provided by our team,” said Tosh. “Conway Regional’s administration is highly supportive of addressing our community’s needs and is striving to improve the health our state.”

As part of the application, Tosh has been using data collected in part from a study of a patient group that is being treated for predia-

betes. The ongoing data includes outcomes from the Conway Regional wellness program.

Conway Regional’s certification, along with that of four other hospitals in Arkansas, is pending with the CDC. The two-year process is expected to be completed in January of 2018.

“The new part is the self-referral to the program,” said Tosh. “Currently insurance will only cover Type 1 and Type 1 diabetes, not prediabetes.”

The covered services will consist of education classes, structured meal planning, exercise, sleep

hygiene, development of skills for coping with daily stress and other ongoing support programs similar to those that help Maria Jarrow.

She added, “The good news is that damage to the pancreas can be reversed. The goal of the diabetes prevention program is for participants to learn to eat healthier food and to be physically active 30 minutes each day. We have learned that if a person loses even 5 percent of their weight and becomes more physically active they decrease their risk of being diagnosed with diabetes by 58 percent.”

PREDIABETES by the numbers.

86 million

86 million American adults (more than 1 out of 3) have prediabetes and most don’t know they have it.

Losing just

5%

Risk Factors

Symptoms Often times there are no obvious symptoms.

1 out of 3

Family History

body weight

Gestational Diabetes

and exercising

High Blood Pressure Inactive Lifestyle A blood test is needed to diagnose prediabetes.

In January 2018, Medicare will begin covering prediabetes care.

30 minutes daily

Being Overweight

9 10

can help many people avoid being diagnosed with Type II diabetes.

OUT OF

people with prediabetes do not know they have it.

A CDC survey measures risk level for prediabetes based on answers to questions about gender, age, weight/height, family history, blood pressure, gestational diabetes and activity level.

One Team. One Promise.

WWW.WOMENSINC.NET 27

cover stor y

Nestled Among the Trees A NATURAL, RELAXED FEEL IS INCORPORATED INTO EVERY NOOK & CRANNY

By Colleen Holt Photos by Brandy Strain Jennifer and Jonathan Woodburn had a vision firmly in mind before they ever even broke ground on their new home in the Summer Hill neighborhood of Greenbrier: they wanted a natural, relaxed feel incorporated into every nook and cranny.

What they created is a simply lovely home with an outdoor space that has nature-filled textures, materials and design. Built in 2012, the home features cedar and natural stone on the exterior, which blends naturally into the setting on their large northern Faulkner County lot.

“We knew from the beginning the feel we wanted in our home both indoors and out,” said Jennifer. “As we began to build, we thought about the placement of our home so the outdoor space would be nestled naturally in the tree line in the back. We utilized the natural elements here to achieve the look we wanted.”

Having a space for family to spend time together remains the overarching goal for the Woodburns. Jennifer and Jonathan have two children, Ethan and Andie, who “love the relaxed feel of everything outdoors.” Ethan, 16, 28 WOMEN’S INC. / JULY 2017

THE WOODBURN HOME

“We love to grill and cook outdoors, and we just enjoy the easy relaxed feel of everything.

There’s nothing fancy ... just comfort!”

—Jennifer Woodburn

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A large deck with lots of natural colors and interesting textures beckon on a nice day or evening. The Woodburn’s daughter, Andie, especially loves the oversized swing her Dad made for her. It’s a great place to nap! The outdoor kitchen makes entertaining more fun for everyone.

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A wide variety of natural textures and colors make for a calming environment to relax and kick back.

is a junior in high school, and Andie is 5 years old.

Their actual outdoor space includes a beautiful kitchen with cooking and dining areas, pergolas for shelter from the heat of the summer, and a shaded, uncovered deck that is perfect for more temperate days. There are multiple levels of decking, and custom landscaping has been added. Strings of lights add a special, finishing touch to the entire area.

“Both of us being from the South – Jonathan from Louisiana and me from Mississippi – we loved the thought of building a Southern Craftsman-style home. We wanted to be able to enjoy the outdoor space with both our friends and family,” she said. “Growing up in the South, I can remember always having family gatherings outdoors, and it was just always a good time. So, we wanted that same feel for our family here.”

Because of their common vision, the Woodburns were able to put together their ideal space. “Since we all had the same vision for the end result, it made it pretty easy to work together! The entire outdoor space was designed, constructed and decorated by us as a family,” Jennifer added.

Although he is not a professional designer, carpenter or builder, Jonathan Woodburn has “a natural skill that has helped us tremen-

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This welcoming bench is a peaceful place to read a book or relax for a bit.

dously in achieving our vision,” his wife says.

“Jonathan and Ethan built the porches and constructed the beautiful shutters that hang from the pergolas at the end of the deck.

Andie especially loves the oversized swing her Dad made for her. It’s a great place to nap!”

As far as Jennifer is concerned, the outdoor kitchen was the most fun to design and create.

“The outdoor kitchen area is probably our most favorite space. We enjoy it both in the

daytime and for evening entertaining as well.

Designing and putting that together was the most fun for me because I know our best times together with both friends and family have usually been around a meal table. We love to grill and cook outdoors, and we just enjoy the easy relaxed feel of everything. There’s nothing fancy ... just comfort!”

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MEET THE WINC TEAM

JENNY CABANTAC

Job Title: I have a few different jobs. My most important ones are wife and mommy.

As far as work goes, I’m the “Director of Preschool Operations” for Pediatrics Plus. In this role, I oversee our developmental preschool programs. We have three developmental preschool programs currently in Conway, Little Rock and Russellville and are opening our fourth preschool program in Sherwood in midJuly. Our program offers therapeutic and developmentally focused childcare and therapy services for children with developmental delays, special needs, or special medical needs. I’ve been with Pediatrics Plus for 11.5 years.

I’m an RN by trade, and came to Pediatrics Plus from Arkansas Children’s Hospital as the nurse for our preschool program. Through the years, I’ve been in various roles within the company that led to my current position.

I feel blessed to be a part of a company with a singular focus on positively impacting children and families. It’s important to me that my work “matters” and to feel that I am making a difference. Working alongside teams of people with similar hearts to serve and seeing children’s lives changed for the better are a couple of the reasons why I love what I do.

My second “gig” (or third or fourth as I like to call it), is helping to manage our family vet clinic, Tucker Creek Vet. My husband, Thomas, is the veterinarian there, and it’s truly a family business. I do the books, payroll, and the other tedious pieces of the management; he focuses on the medicine and people aspects; and our girls help with any and every odd job that needs extra hands.

We will celebrate our one year anniversary of being open on July 25, 2017. It’s been a crazy, busy year, but we have been so blessed with the amazing clients and patients who followed us to Tucker Creek and the new ones who have found us along the way.

Tell us about your family:

My husband, Thomas, and I will celebrate our 15 year anniversary this year.

We have three amazing daughters: Madden (10), London (8) and Quinn (6).

We are an active family and love adventures of all shapes and sizes. All three of our girls are into all things sporty: triathlons, swim team, softball, volleyball, tumbling, and whatever else you throw at them. As a family, we love to camp, hike, float, picnic, play games, and mostly just be together.

As parents, we say all the time that we’re growing tiny humans. It’s so true.

Parenting with intentionality is so much work, but so worth it. My greatest desire for my girls are for them to grow into Jesus-loving, kind, strong women who are leaders.

What do enjoy in your spare time?

I don’t have a lot of spare time, but when I do (or if I did) my favorite “downtime” things are napping (my all-time favorite thing), reading, and spending time with the people I love.

How did you to be in Conway and/or Faulkner County?

Photo by Brandy Strain

“As parents, we say all the time that we’re growing tiny humans. It’s so true.

Parenting with intentionality is so much work, but so worth it.”

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I came to Conway to attend UCA. Thomas and I met at UCA. We moved to Alabama while he was in vet school and always knew we wanted to move back to Conway when he graduated. We both loved Conway as college kids and knew it was where we wanted to plant ourselves and raise a family. We have always loved what Conway is and we equally love what it is becoming.

Tell us about your Education

I have a Bachelor’s of Arts in Public Relations from UCA and a Bachelor’s of Science in Nursing (BSN) from Auburn University. While my current job roles aren’t strictly focused on either of these areas, I really feel that the work I do blends my two degrees in a unique way.

health

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I’m Parched!

I may have mentioned this in a previous article, but just in case you missed it, I’m very proud to be a PK. Yep, a Preacher’s Kid – a Baptist PK at that. Dad went to Heaven a long time ago, but I still remember a lot of the phrases he used from the pulpit. When he really wanted to make a point he would say, “Now, I’m going to quit preaching and go to meddling.” In other words, “Pay attention. I’m talking to you and this is important.” Now, it’s my turn to start meddling, and I’m not just talking to you, but to myself as well.

You see, I have a terrible habit that I’d bet a large number of you have as well. I drink waaaaaay too many diet colas. Perhaps I understated that. I drink diet soda all the time instead of water. You’d think I’d know better, and I do, but knowing is not the same thing as doing.

One doesn’t have to look very hard to find information about the hazards of artificial sweeteners in those so-called “diet” drinks.

Even though that isn’t the primary focus of this article, I want to mention some of the more significant ones. Diet sodas cause increased insulin secretion, which can lead to a greater risk of developing Type 2 Diabetes. Diet soda intake shows a possible link to lower bone mineral density, decreased kidney function, and migraine headaches. Additionally, drinking diet cola has been linked to an increased risk of cardiovascular disease and obesity. There is actually a recent report published in the American Heart Association’s journal Stroke linking diet soda to a higher risk of stroke and dementia.

Pretty scary, huh? So, with my family history

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of cardiovascular disease and my constant battle controlling my weight, it is time for me to greatly reduce my diet cola intake and start hitting the bottle – the water bottle. But to do that, I will have to “get my want-to fixed” to use another one of Dad’s phrases – one that he often directed straight at me.

I’m reminded of a segment of The Rime of the Ancient Mariner, a classic poem by Samuel Taylor Coleridge. “Water, water, every where, and all the boards did shrink.

Water, water, every where, nor any drop to drink.” Water might be everywhere, but we must never take it for granted.

Summer is upon us so proper hydration is a very timely topic. Generally, healthy people can let thirst be their guide to their fluid requirements. However, certain medications, including some used for heart disease, ulcers, or depression can alter one’s thirst mechanism. So can certain diseases. But for most of us, an easy way to gauge how well hydrated we are, is to simply look at our urine.

It should be fairly clear, but if it is dark yellow or has a strong odor, that’s a sign we may need to drink more water.

Dehydration occurs when the body loses more water than it takes in. It can happen to anyone, but the elderly, children, and those with chronic illnesses are at higher risk. In most cases, simply drinking more water can help, but severe dehydration requires immediate medical attention. When the body is dehydrated, heat cramps, heat exhaustion, or even heat stroke can occur.

One of the most common problems associated with dehydration is – you guessed it – constipation. The body needs to be hydrated for the colon to function properly, so drinking plenty of water can help keep things moving.

Drinking plenty of water also helps the body purge other waste through sweat and urine. There are so many more problems we could mention that are associated with dehydration such as increased irritability, lack of concentration, grogginess, worsening of migraine headaches, dry skin, and even bad breath, but I’m out of room.

Let me close by saying we just returned from an anniversary trip where we primarily drank bottled water. Since a Diet Coke sold for $5 per can – no way I was paying that much – I pretty much stopped drinking soda cold turkey.

I now have a greater appreciation for our local, high-quality water supply. We all need to “tap in” to this amazing health resource.

real estate

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The Millennial Challenge and Impact of Student Debt on Homeownership The traditional first steps for young adults after graduating college is to find a job and form their own household, well before purchasing a home. However, in a recent 2016 study conducted by the National Association of Realtors (NAR) and American Student Assistance, 42% of student loan borrowers reported delaying moving out of a family member’s home after college, with 24% delaying for at least two years. However, since many young adults use this living situation as a way to pay down debt and save, further increases in student debt loads would likely extend the amount of time individuals live at home, thereby postponing the formation of households. In fact, approximately half of all borrowers in the NAR survey believed that student loan debt inhibited their ability to rent alone.

The strain of student debt impacts the perceptions and beliefs of households regarding their ability to purchase a home.

Approximately 71% of non-homeowners in a 2016 study believed that their student loan debt delayed them from buying a home.

Non-homeowners with more than $50,000 in student debt were the most likely to feel that their debt delayed them from buying a home, with approximately eight out of ten feeling this way.

The millennial generation is also more likely to suffer from this problem, whereas the

Generation X and baby boomer respondents felt their inability to own a home because of student debt was attributed to high debtto-income ratios. In many ways, educational attainment is becoming an increasingly important step toward achieving the American Dream of owning a home. Education generally increases both job opportunities and income.

In fact, the average earnings premium of a college degree, the percentage by which wages of college graduates exceed those of otherwise comparable high school graduates, rose substantially by approximately 25 percentage points for both women and men to 50.8%, reflecting both rising opportunities for those with degrees, and a decline in real average earnings for those without a degree.

In general, increased earnings potential from additional education makes saving for a down payment, qualifying for a mortgage and affording monthly mortgage payments easier, particularly in an environment of rising home prices and still tight credit standards.

In fact, compared with not having a high school diploma, a bachelor’s degree increased homeownership by 17.5 percentage points for young adults.

Although education generally increases future earnings and in turn boosts the future likelihood of buying a home, student loan debt is having young adults opting to live with their parents or remain in shared living situations because of the financial burdens caused by student debt, thereby postponing the formation of additional households.

For all of the potential home buyers, before you give up on your home buying plans talk to your Realtor and Lender, as there are a number of 100% loans available for individuals based on a number of factors including area and income. Additionally, it may be possible for the seller to pay some of your closing costs on your behalf.

The Tobey Team is one of Faulkner County’s leading, knowledgeable and top producers. We are full time agents with the knowledge, dedication, customer focus, and commitment to all aspects of your Real Estate needs. Call us today at 501-358-0023 with your real estate questions.

Data Sources Include National Realtors Association and American Student Assistance

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news & events ARTS CALENDAR

HAVEN Donation

July 2017 Events – Please check out the event website for more information and pricing.

The Faulkner County Board of Realtors recently presented a $500 check to Haven House in Conway. The FCBOR presents a $500 check each quarter to a different non-profit in Faulkner County.

Marti Jones, executive director of Haven accepted the check on Haven’s behalf.

Pictured from left to right: Tracy Tidwell, Marti Jones, Brittany Burks, and Tami Davis.

Brows & Bubbly

Studio Skin and the French Lilly hosted a Brows and Bubbly open house to introduce Lauren Hum and her latest service eyebrow microblading ( a semi permanent cosmetic tattoo that mimics the look of real eyebrow hair) to the downtown Conway area.

JULY 1, 5, 8 The Music Man presented by Arkansas Shakespeare Theatre @ Reynolds Performance Hall; 2:00 and 7:30 p.m. www.arkshakes.com (G) JULY 2, 4, 7 Love’s Labour’s Lost presented by Arkansas Shakespeare Theatre @ UCA, on the lawn in front of McAlister Hall; 7:30 p.m. www.arkshakes.com (G) JULY 2, 6, 9 Julius Caesar presented by Arkansas Shakespeare Theatre @ Reynolds Performance Hall; July 2, 6 @ 2:00 p.m.; July 9 @ 7:30 p.m. www.arkshakes.com (PG13) JULY 4, 7, 8 The Taming of the Shrew presented by Arkansas Shakespeare Theatre @ Reynolds Performance Hall; July 4, 7 @ 2:00 p.m.; July 8 at 10:00 a.m. www.arkshakes.com (G) JULY 15 True Alisandre Rhythmic Interactive Percussion Experience (RIPE), a drumming event for people of all ages @ Faulkner County Library; 2:00 p.m. Nancy@fcl.org (G) JULY 16 Summer Concert Series with The Boomers @ Faulkner County Library; 2:00 p.m. Nancy@fcl.org (G) JULY 20 Open Mic Night @ Faulkner County Library; 2:00 p.m. Nancy@fcl.org (G) JULY 23 Summer Concert Series with Mary Parker @ Faulkner County Library; 2:00 p.m. Nancy@fcl.org (G) JULY 20-23, 27-30 The Importance of Being Earnest

by Oscar Wilde @ The Lantern Theatre; www.thelanterntheatre.com (PG) JULY 30 Summer Concert Series with Wightman and Karen Harris @ Faulkner County Library; 2:00 p.m.

Nancy@fcl.org (G) THURSDAYS IN JULY Crafts with Ann Linton @ Faulkner County Library; 5:00 p.m. Nancy@fcl.org (A) RATING KEY G – Suitable for all ages PG – Suggested for ages 7+ PG13 – Suggested for ages 13+ A – Suggested for Adults 18+ Jennie Strange is the founder and Executive Director of Blackbird Academy of Arts, a non-profit organization dedicated to providing quality performing and visual arts education.

She lives in Conway with her husband, Statler, and a random assortment of dogs, goats, and chickens. To submit your Arts Calendar events, email Jennie@blackbirdacademy.org

38 WOMEN’S INC. / JULY 2017

beauty

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Time for a Blowout

More and more women are discovering the benefits of getting a blowout. Others are still asking “What is a ‘blowout’?” A blowout is a service designed to maintain healthy and styled hair in between haircuts and colors.

Do you ever notice how much softer and smoother your hair seems after your hairdresser gets done with your service? It isn’t exactly just her magic touch. Taking small sections and using a round brush, your hair is blown out sleek, frizz free, and with a little (or a lot) of bounce.

A blowout service starts off with two washes. The first wash is to break up the styling product and oil, and the second wash is to make sure the hair gets squeaky clean. Getting your blowout at a professional salon ensures that the shampoo being used doesn’t fade or harm your color, and some even have built in thermal protectants.

The next step is to condition the hair after the washes. Most blowout bars and salons that offer blowouts on their menus include a 10-20 minute scalp massage with a deep conditioner. Salons like The Beauty Bar offer add-ons for services, such as treatments to repair damage, add moisture, and add volume.

After you are shampooed and conditioned (and probably extremely relaxed), your stylist will ask a few question about your hair type and your desired look. The stylist will then choose the styling products that best suit your needs to achieve your goal. Every blowout

service is customized for your hair, and the goal is that you leave the salon free of the hassle of spending a lot of time on your hair for 3-5 days.

So, how does the style last so that you can rock your style for days after your salon visit?

Your stylist can educate you on ways to refresh your hair after sleeping on it, but your best friend will be dry shampoo.

Dry shampoo will absorb the oil your scalp produces and add a little volume at the root to keep your hair from going flat. You may have to touch up some places depending on how you sleep on your hair, but because of the way your hair was blown out and the products the stylist used; restyling should only take 3-7 minutes. This is what one of the main attractions about a blowout is. You get to spend less time doing your own hair, because it’s already done for you!

Treating yourself to a blowout is an especially great option if you have a hard time styling your hair yourself, or if you have thick, long or curly hair. It is also great for special

events, weddings, or even date night. Client’s find that it’s such a rewarding service they often come back saying “I’m hooked” and they opt to get one once or twice a week. Try one.

You won’t be sorry.

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book review

Socially Conscious Eating Animal, Vegetable, Miracle: A Year of Food Life Authored by Barbara Kingsolver Reviewed by Susan O’Keefe As I was checking the label on the eightounce container of baby bella mushrooms, I was pleased to see their origin was only a state away in nearby Mauldin, South Carolina. I live in Augusta, Georgia. That’s barely one hundred miles from Point A to Point B, so by most accounts, that is considered a local food.

It was only a few days later when I examined the label more closely, and discovered the fine print to proclaim that the produce was simply “distributed” by a grocery store chain in Mauldin, South Carolina. The ‘shrooms were actually grown in Idaho, wherever that is! Certainly, the local accolade had been squashed.

It can be an all-consuming constant battle to find, eat, and support locally grown foods.

Instead of shopping and outsourcing, one 40 WOMEN’S INC. / JULY 2017

idiosyncratic mom, wife, author, political activist, and biologist decided to take 365 days and execute a science experiment in rural southwestern Virginia.

Animal, Vegetable, Miracle humorously and intellectually chronicles the story of Barbara Kingsolver’s journey with her environmental scientist husband and two daughters as they strive to put food on the table that was harvested in their back yard, back field, the neighbor’s field, or at least the neighbor’s brother’s uncle’s field.

After several family meetings, Kingsolver’s family packed up the family car and left all that was familiar in Tucson, Arizona, to head to the Appalachian Mountains. Awaiting them in Virginia was an inherited, slightly neglected, overgrown family homestead that would eventually set the stage for the year-long experiment. The learning curve was steep. The countdown to begin the project loomed overhead.

SUSAN O’KEEFE

While Kingsolver clearly possesses a passion with her pen, she is equally adept with her green thumb. Armed with a pair of biology degrees, environmental insights, and political spunk, she maintains “the main barrier standing between ourselves and a local-food culture is not price, but attitude. The most difficult requirements being patience and a pinch of restraint.” If a food is out-of-season, then it is unavailable.

What responsibility do we have as a culture to not only just say “No” to our children, but to accept “No” as adults.

“No, we cannot have strawberries until next year, because they are simply out of season.” We can buy in bulk. We can learn to freeze and can. But we cannot continue to have our cake (which is often made from a horrendous concoction of fake ingredients) and eat it too.

Kingsolver lectures that Americans are overfed and undernourished. If the old adage holds true that we are what we eat, then most Americans are fast, fake, and cheap.

Is that the image we chose or has it chosen us? When did moms and dads pass the torch to marketers and allow them to decide what foods we place on the dinner table?

That is assuming, of course, that families are even sitting together at the dinner table.

And whether it’s mom or dad, someone is buying the food. Someone is preparing it.

And somewhere along the way, the food was manufactured, grown, harvested, butchered or processed in some way, shape, or form. Are

we too apathetic as a culture to even care?

Kingsolver encourages readers to do something, anything, to change the food culture.

“When the grocery store clerk asks if I’ve found everything I needed, I take a minute to voice my desire for more local foods. Why

beginning in the Garden of Eden. It is our sustenance, our energy, our necessity for life.

But Kingsolver sparked a controversy, or maybe just fanned the flame, regarding the food culture. It begs the question of consumers. To what extent will communities support local foods and farmers, or will many continue to passively place drivethru orders ‘till the cows come home? (Home from their wide open green pastures, of course.)

Animal, Vegetable, Miracle is a treasure trove of all things dirty, foodie, and environmental. It’s packed with chapter titles such as “Zucchini Larceny” and “You Can’t Run Away on Harvest Day.” There are turkey tales, plant protests, and a short list of the exceptions that each family member is allowed to consume that are nowhere to be found locally. (Think coffee or boxed mac ‘n’ cheese.)

With recipes, recommendations, and reports from Kingsolver’s husband and daughter, Animal, Vegetable, Miracle is worth reading and re-reading. It’s a book about life; the beginning, the middle, and the end.

Kingsolver lectures that Americans are overfed and undernourished.

If the old adage holds true that we are what we eat, then most Americans are fast, fake, and cheap. isn’t there more local produce on the grocery shelves? Do I really have to go to the farmer’s market to buy it?” offers one reader.

Another step in the awareness direction is to be cognizant of the transportation time it takes to deliver goods to the supermarket.

Everyone supports an economy. Think about your hard-earned dollar and to which economy you want to fund.

One reader in our club called the book provocative and preachy. Season it with research, a bit of self-righteousness, and a decade after its initial printing the author has banked quite a profit and popular following. At the risk of sounding like a fan, one critical reader labeled the book sanctimonious, asserting that most Americans lack an inherited piece of farm land as well as enough cash in the bank to launch such an adventure.

In the end, food is here to stay. It’s the universal language and had its birth in the

Susan lives in Augusta, Georgia, where her husband, Jack, is the Augusta University Men’s Golf Coach. Susan originally hails from Kentucky and graduated from the University of Louisville with a major study in Communication and a minor study in Health and Wellness. Susan enjoys the adventures of motherhood as she parents Lucy, John-Freeman, Henry, and Hogan (plus Oxford, the family’s black Labrador).

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spiritual

Making Wise Choices CHOICES. WE FACE THEM EVERY DAY.

HERE ARE A FEW DAILY CHOICES THAT WE MAKE. “How am I going to spend my time?”

“Who am I going to be friends with?”

“Where am I going to spend my money?”

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ANDREA LENNON

By Andrea Lennon Choices are important because they reflect the condition of our hearts. In the book of Joshua, Joshua shared a strong warning about making wise choices. Joshua said, “Be very strong; be careful to obey all that is written in the Book of the Law of Moses, without turning aside to the right or to the left. So be very careful to love the Lord your God... choose for yourselves this day whom you will serve... but as for me and my house we will serve the Lord.” ( Joshua 23:6, 11, and 24:15, New International Version) These words were spoken just before Joshua’s death. Joshua was encouraging the children of Israel to make wise choices. The context of these verses is important to understand.

Joshua knew that once he died the children of Israel would be tempted to turn from God and His plans for their lives by conforming to the people around them. This was a big problem because the people around the children of Israel did not love the Lord or serve Him. Conformity to these people would be displayed through the daily choices the Israelites would make---how they would spend their time, who they would befriend and marry, and where they would use their resources. In light of these possibilities, Joshua drew a clear line in the sand. “Choose for yourselves this day whom you will serve.”

I love how practical God’s Word is for us.

Two words jump off the page at me when I read this familiar verse of scripture. The words

are “this day.” You see in order for you and me to make wise choices, we must embrace a “this day” approach to life. We must make the choice to follow God and His Word on “this day.” When we live with a “this day” kind of approach to life, it does not matter what we did yesterday or what we plan to do tomorrow.

What counts is the choice that we make right now, in this moment.

As women, we have to make lots of choices.

Every day things and people are vying for our time, attention, and resources. Bottomline---our choices reflect our priorities! As we embrace a “this day” approach to making wise choices, we discover that every part of our lives are impacted. Certainly choosing Christ on “this day” will impact the way we spend our time, the type of friends we invite into our lives, and the way we use our resources. Choosing Christ in these important areas of life will position us to live out the powerful warning Joshua gave the children of Israel many years ago. We will be strong! We will be careful!

We will be loving! Today are you facing an important decision? If so, take your decision to the Lord and discover the right way to live.

Then, choose Christ!

Andrea Lennon lives in Conway, Arkansas, with her husband, Jay, and sons, Jake and Andrew. Andrea ministers to the women of Arkansas through a speaking and writing ministry called True Vine Ministry. To learn more about this ministry, access Andrea’s website at www.andrealennon.net.

health Tinnitus is often described as roaring, buzzing, crickets, hissing, static, humming, or ringing.

It may be louder or softer at times and is most noticeable when it’s quiet. Many people have it and simply learn to ignore it, but others can’t seem to ignore it and are bothered constantly.

Tinnitus is a symptom, not a disease and there is not a specific treatment to cure it. The most common cause of tinnitus is sensory hearing loss. This condition presents two simultaneous complaints: “I hear but I don’t understand” and “My ears buzz or ring.” There can be other conditions that cause or contribute to tinnitus to lesser extents. High doses of aspirin, chemotherapy drugs, caffeine, and medications for hypertension can all contribute to increased tinnitus, but by and large the most common condition is hearing loss itself.

The following information is taken from the American Tinnitus Association Treatment Option page of their website:

Hearing Aids

Tinnitus is overwhelmingly connected to some level of hearing loss. Augmenting the reception and perception of external noise can often provide relief from the internal sound of tinnitus. Most patients develop tinnitus as a symptom of hearing loss, caused either by age, long-term hearing damage, or acute trauma to the auditory system. According to the general scientific consensus, hearing loss causes less external sound stimuli to reach the brain. In response, the brain undergoes neuroplastic changes in how it processes different sound frequencies. Tinnitus is the product of these maladaptive neuroplastic changes. Patients

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Ringing in the Ears with hearing loss and tinnitus may find relief from the use of hearing aids and other sound amplification devices.”

A 2008-9 study published in The Hearing Review revealed that approximately 65% of patients experienced mild to moderate relief from tinnitus while using hearing aids, and that 22% experienced major relief. The House Ear Institute in California has referred to hearing aid amplification as, “The gold standard for tinnitus relief.”

There is agreement within the audiology community and verified through research that amplification is considered the standard of treatment for tinnitus management in the presence of sensory hearing loss. There are other forms of treatment available that are less successful and often incorporated in the absence of hearing loss such as tinnitus retraining therapy and masking.

Also, from the American Tinnitus Association: “There are presently no FDA-approved drugs specifically for tinnitus, and no medications that have been shown to reverse the neural hyperactivity at the root of tinnitus.

Drugs cannot cure tinnitus.”

So no matter how many advertisements you may see on television about cures like Lipoflavanoids and other vitamins, there is simply no medical evidence that they work. However, there is evidence that anti-anxiety drugs work

to help relax patients and make them feel less anxious about their tinnitus. You should visit with your otologist about these options.

All major hearing organizations include hearing aids as tinnitus treatment: the American Tinnitus Association, Better Hearing Institute, American Otological Society, American Academy of Otolaryngology-Head and Neck Surgery, American Speech Hearing Association, House Ear Clinic, Academy of Doctors of Audiology, and the American Academy of Audiology.

Many of the better and more sophisticated hearing aids available today contain some form of tinnitus masking incorporated into the hearing aid circuitry which is easily used by the patient. One of the greatest challenges in working with tinnitus patients is that everyone is different. ReSound hearing aids include a tinnitus sound generator (TSG) that has helped many patients manage their tinnitus. The Smart App allows each patient to select and switch between sounds that provide the most relief.

This direct audio streaming from a smartphone gives the patient direct access to customizable soundscapes that fit their unique needs.

Again, tinnitus is not a disease, but rather a symptom of an underlying condition. Tinnitus cannot be cured, but it can be managed.

WWW.WOMENSINC.NET 43

pet safety

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Keep Pets Cool, Comfortable and Safe During HOT Weather stay comfortable and safe as summer temperatures heat up. Pet parents also must be aware of particular dangers that go hand-in-hand with summertime activities.

Summer may be a time for vacations and recreational activities for human beings, but pets may not be privy to the same luxuries.

Summer recreation may not always include our four-legged friends, as summer heat and other issues can pose a threat to companion animals.

As a result, pet parents must make pet safety a priority when the weather heats up.

The Humane Society of the United States says that the summer months can be uncomfortable and dangerous for pets. Temperatures that may be tolerable for adults and children who are dressed accordingly may not be so for animals covered in fur. It’s vital to help pets

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• Practice vehicle safety. It is never acceptable to leave pets in parked cars, even for a minute. Temperatures inside vehicles can rise quickly and considerably in a matter of minutes, even with the windows opened slightly. HSUS says on an 85-degree-day, temperatures inside parked cars can reach 102 F within 10 minutes.

Pets can suffer irreversible and even fatal organ damage in that period of time. If you have to run errands, keep dogs and cats at home where they will be more comfortable.

• Stay off of hot asphalt. If you’ve ever walked on the hot sand or an asphalt driveway on a hot day, you understand just how scorching those surfaces can get. Dogs and cats do not have protective shoes to wear, so safeguard the delicate pads of their paws by keeping companion animals off of hot surfaces. Schedule walks in the early morning or late afternoon when temperatures are cooler.

• Schedule a pet grooming visit. The American Veterinary Medical Foundation suggests speaking with your veterinarian

to see if it’s appropriate for your pet to get clipped shorter or to be shaved in the summer. But a fur coat can offer protection from the sun, so weigh the pros and cons before taking action. Apply sunscreen to your dog’s skin if he or she has a thin coat.

• Provide a way for pets to cool off. If you’re hot, chances are your pet is hot, too.

Offer a means for pets too cool off, such as a wading pool when you are outside.

Offer plenty of fresh water. Keep pets who do not enjoy the heat indoors with the air conditioner running on hot days.

• Look for indicators of heat stress.

The American Veterinary Association says heat stress is marked by heavy panting, dry or bright red gums, thick drool, vomiting, diarrhea, or wobbly legs. Move pets exhibiting such symptoms to a cool place, drape a damp towel over the animal’s body, rewetting the cloth frequently, and get the animal to the vet as soon as you possibly can.

• Exercise caution in the water. Dogs can get swept away by rip currents just like human swimmers. If you will be boating, invest in a life jacket for your pooch and look for water hazards, such as currents, sink holes, and blue-green algae in lakes and ponds.

Rodeo Queen Assists Beyond Boundaries imatter

MATTISON GAFNER

By Cindy Beckman Mattison Gafner has been riding horses since she was seven. She competed in her first rodeo queen pageant when she was ten. Now as reigning Teen Miss Rodeo of the MidSouth and Arkansas State Fair Junior Rodeo Queen, she is turning her attention toward helping a non-profit she has come to care for very much—Beyond Boundaries.

A couple of years ago, as the reigning Junior Miss Rodeo Arkansas, Mattison was asked to give out client awards at the Beyond Boundaries Family Day. Beyond Boundaries is a non-profit center that utilizes horses as a therapy tool to increase motor, sensory, speech and behavior/social responses. It was at that time that she met many of the clients and became acquainted with the people who work at the center.

Mattison said, “Beyond Boundaries gives kids with any disability the chance to get to do something other kids get to do. They get to go outside the classroom and receive therapy through riding and other activities.”

This past year, Mattison heard that the Beyond Boundaries board members wanted to purchase a horse trailer to be used by the center. She decided that she wanted to do something to help.

“I figured if I could raise $6,800 for a pageant in Texas, why couldn’t I raise money for a horse trailer in Arkansas?” Mattison explained.

Mattison scheduled a meeting with the Beyond Boundaries leadership and then began meeting with several business owners in the Central Arkansas area. She created a sponsorship packet that she distributes when she meets with potential sponsors, and has reached out to sister rodeo queens in Northwest Arkansas and the Crossett Area to help her promote the project.

Trailer Country, which is one of the sponsors, has already been given a check to purchase the trailer. Mattison plans to present the trailer

Mattison Gafner Teen Miss Rodeo of the Mid-South & Arkansas State Fair Junior Rodeo Queen.

Photo by Ron Beckman WWW.WOMENSINC.NET 45

Mattison’s barn with her horse, Jazz.

Photo by Ron Beckman

Arkansas State Fair Junior Rodeo Queen competition. Submitted photo.

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to Beyond Boundaries at its annual fundraiser, “The Mane Event,” on October 7. She is also raising funds to help the non-profit with the cost of the trailer insurance, a banner to recognize the sponsors and shirts for the patients.

Mattison, 15, is the daughter of Steve and Tracy Gafner. This past year, she was an honor student enrolled in pre-AP classes at the Vilonia Freshman Academy. She was active in FBLA, FCCLA and Beta Club. She will be a sophomore at Vilonia High School this fall.

Competing in rodeo queen pageants is something Mattison has wanted to do since 2013, after watching her trainer give up her title as Arkansas State Fair Rodeo Queen. Her trainer let her try the crown on her hat and she was hooked. Less than a year later, she won Junior Miss Rodeo Arkansas. She has also held the titles of Miss Rodeo Old Fort Days

Princess, Teen Miss Vilonia and Faulkner County Jr. Fair Queen.

Mattison also competes in barrel racing, pole bending and reining events at local rodeos and horse shows. She has several horses, including Skeeter, her reining and horsemanship horse, and Jazz, her primary horse. She also performs with the Crossroads Angels at the Two Bar Two Arena during the family rodeo each month in El Paso, AR. Participating in pageants has given Mattison a lot of experience in public speaking.

“Pageants have put her far ahead in the area of public speaking,” said her mother, Tracy Gafner. “She has to put herself out there to meet the requirements, so it has enhanced her abilities.”

Last year, she and her teammate, Jordan Thomas, won their division for team demon-

GENERATION

Mattison will also continue to practice her horsemanship skills as the patterns she must execute in the rodeo queen pageants will become increasingly more complicated as she competes at a higher level. Contestants must take their horses through reining patterns and rail work.

In September, Mattison will head back to Southaven, Mississippi to hand over her crown to the next Teen Miss Rodeo of the Mid-South. The pageant is held every year as part of the Mid-South Fair and PRCA Rodeo. On October 21, she will give up her Junior Rodeo Queen title at the Arkansas State Fair. Two weeks later, she will compete in her next pageant.

imatter

Young people are often the pulse of a community, as sporting events, school events and activities bring them into the spotlight. Women’s Inc. wants to showcase these young people in a special feature each month. iMatter will seek to tell the stories of a new generation of community, skill, success and achievement. Do you know a student in Faulkner county who is truly one of a kind? Send youth’s name, school, parents contact information (if under 18) and a brief explanation of why you think your youth or you would make a iMatter candidate to Winc@thecabin.net

“Beyond Boundaries gives kids with any disability the chance to get to do something other kids get to do. They get to go outside the classroom and receive therapy through riding and other activities.”

—Mattison Gafner

Photo by Ron Beckman

strative speech at the State and Southern Regional 4-H competitions. She also served as president of her local 4-H chapter, Saddles and Spurs in Vilonia last year.

Mattison plans to compete in more pageants once her current reigns end this fall. Her goal is to eventually become Miss Rodeo Arkansas and compete for Miss Rodeo America. Contestants in these pageants must be 19 to 26 years old.

One of the requirements of many pageants is that contestants have a “platform.” Mattison is already working on a presentation called “Ignore, block, delete and tell” which focuses on internet safety and measures to prevent cyber bullying. She is developing variations of the presentation so she can adapt it to different age audiences.

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